NPI 1376848077

Gachavis M Green, DPM

Practitioner Foot & Ankle Surgery Podiatrist Hattiesburg, MS

Practice location

Address: 34 Franklin Rd, Hattiesburg, MS 39402-1318
Phone: (601) 268-0400
Fax: (601) 264-3150
Mailing address: PO Box 16235, Hattiesburg, MS 39404-6235

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 80220 (MS)

Other Podiatrist providers in Mississippi →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 5901002375 (MI)

Registry record

NPI: 1376848077
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2011
Record last updated: 24 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.