Ethan B Worthington, D.O.

NPI #1558556621 in Wiggins, Mississippi

Provider Information

NPI Number: 1558556621
Entity Type: Individual
Name: Ethan B Worthington, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Sep 11, 2007
Last Updated: Aug 23, 2016

Practice Location

Address: 805 HALL ST
City: Wiggins
State: Mississippi
ZIP Code: 39577-2110
Phone: (601) 928-4412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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