IndividualActive
Blake Olmsted, M.D.
NPI 1780948216 · Allergy & Immunology Physician · Hattiesburg, MS
Provider details
- NPI number
- 1780948216
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 23912 (MS)
Practice location
6414 U S Highway 98 Ste 80
Hattiesburg, MS 39402-7838
Phone: (601) 261-1800
Fax: (601) 261-1801
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.