NPI 1114982485 · live from the CMS NPI Registry
Gardner Fletcher, MD
Internal Medicine in Hattiesburg, MS. National Provider Identifier 1114982485, active.
NPI record
| NPI | 1114982485 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 200 Hospital Dr W, Hattiesburg, MS 39402 |
| Practice phone | 601-296-3000 |
| Enumerated | April 19, 2006 |
| Last updated | August 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Pulmonary Disease | 207RP1001X | 10051 (MS) |
| Internal Medicine primary | 207R00000X | 10051 (MS) |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 10051 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.