NPI 1760710990 · live from the CMS NPI Registry
Anita Wacht Batman, MD
Family Medicine in Itta Bena, MS. National Provider Identifier 1760710990, active.
NPI record
| NPI | 1760710990 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | Highway 82 Student Health Clinic, Mississippi Valley State University, Itta Bena, MS 38941 |
| Practice phone | 662-254-3331 |
| Mailing address | 117 W Jefferson Ave, Greenwood, MS 38930 |
| Enumerated | November 30, 2009 |
| Last updated | November 30, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 07962 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.