Hattiesburg Gi Associates, Pllc | |
100 Methodist Hospital Blvd Hattiesburg MS 39402-1295 | |
(601) 268-5185 | |
(601) 268-5006 |
Full Name | Hattiesburg Gi Associates, Pllc |
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Speciality | Internal Medicine |
Location | 100 Methodist Hospital Blvd, Hattiesburg, Mississippi |
Authorized Official Name and Position | Suzette Barnes (OFFICE MANAGER) |
Authorized Official Contact | 6012685185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hattiesburg Gi Associates, Pllc 100 Methodist Hospital Blvd Hattiesburg MS 39402-1295 Ph: (601) 268-5185 | Hattiesburg Gi Associates, Pllc 100 Methodist Hospital Blvd Hattiesburg MS 39402-1295 Ph: (601) 268-5185 |
NPI Number | 1730293234 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 01/24/2023 |
Medicare PECOS PAC ID | 8921083288 |
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Medicare Enrollment ID | O20040622000367 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730293234 | NPI | - | NPPES |
09014857 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | William M Farmer |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558374850 PECOS PAC ID: 6406759273 Enrollment ID: I20040706000285 |
Provider Name | James S Williamson |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033205315 PECOS PAC ID: 0840204590 Enrollment ID: I20060201000691 |
Provider Name | Farren A Windham |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1477576171 PECOS PAC ID: 2163585548 Enrollment ID: I20090112000234 |
Provider Name | Henry Creed Fox |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407859887 PECOS PAC ID: 0446239230 Enrollment ID: I20100909000248 |
Provider Name | Charles Troy Morrissette |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1760485148 PECOS PAC ID: 1254310048 Enrollment ID: I20100909000289 |
Provider Name | Stephen E Buckley |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740283126 PECOS PAC ID: 0244219038 Enrollment ID: I20100909000318 |
Provider Name | Audrey D Ghatas |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508960295 PECOS PAC ID: 0648446468 Enrollment ID: I20111229000024 |
Provider Name | David J Ware |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1104919711 PECOS PAC ID: 8628245750 Enrollment ID: I20120112000728 |
Provider Name | Susan R Wallace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740537687 PECOS PAC ID: 6800040460 Enrollment ID: I20130206000470 |
Provider Name | Tracie A Abplanalp |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972875110 PECOS PAC ID: 7416115696 Enrollment ID: I20131216001290 |
Provider Name | Patrick J Sanchez |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669812087 PECOS PAC ID: 2668791971 Enrollment ID: I20190824000215 |
Provider Name | Erin Kathleen Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942761382 PECOS PAC ID: 7719218007 Enrollment ID: I20191017002775 |
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