Healthcare Provider Details

I. General information

NPI: 1285695288
Provider Name (Legal Business Name): LARRY HALE DAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 MILLSAPS DRIVE
HATTIESBURG MS
39402
US

IV. Provider business mailing address

POST OFFICE BOX 17829
HATTIESBURG MS
39404-7829
US

V. Phone/Fax

Practice location:
  • Phone: 601-268-5131
  • Fax: 601-268-5138
Mailing address:
  • Phone: 601-268-5131
  • Fax: 601-268-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number04659
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number04659
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: