Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELA BOOTH WINGFIELD, MD
Active Sole ProprietorDR. ANGELA BOOTH WINGFIELD, MD is a Procedural Dermatology healthcare provider located in GULFPORT, Mississippi. NPI 1962494294 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · GULFPORT, MS
Registration Details
- NPI Number
- 1962494294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2005 (20.985977959499 yrs)
- Last Updated
- Dec 12, 2022
- Licenses
-
024878 (LA)1731 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11295 E TAYLOR RDGULFPORT, MS, 395034197Browse MS providers · Browse ZIP 39503
- Phone
- 2288643300
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.