Search › Mississippi › 207R00000X
Anutida Charoentong
NPI 1013442904 · on the registry since 2017
Practice
- Address
- 102 Shelby Speights Dr
Purvis, MS 39475 - Phone
- (601) 794-8065
- Fax
- (601) 794-5650
- Organisation at this address
- Hattiesburg Clinic Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi