IndividualActive
Anutida Charoentong
NPI 1013442904 · Internal Medicine Physician · Purvis, MS
Provider details
- NPI number
- 1013442904
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 27867 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
102 Shelby Speights Dr
Purvis, MS 39475-4151
Phone: (601) 794-8065
Fax: (601) 794-5650
Approximate (ZIP-level) locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2017-04-27
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.