Gerald B Broussard JR., MD
NPI #1104117688 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1104117688
- Entity Type
- Individual
- Name
- Gerald B Broussard JR., MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Credential
- MD
- Enumeration Date
- May 2, 2011
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 6051 U S HIGHWAY 49
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-7200
- Phone
- (800) 494-8260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Student in an Organized Health Care Education/Training Program |
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