IndividualActive
Matthew Maia
NPI 1164110995 · Military Health Care Provider · Pascagoula, MS
Provider details
- NPI number
- 1164110995
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 010128359 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
1000 Access Rd # 4
Pascagoula, MS 39567-4485
Phone: (228) 935-3252
Approximate (ZIP-level) locationGet directions
Mailing address
14801 Lemoyne Blvd Apt 359
Biloxi, MS 39532-7035
Registry dates
- Enumerated
- 2023-04-28
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.