MEDICARE: JOSHUA PETER HAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22648	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	080189239	OTHER	NC	MEDICARE RAILROAD ID #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	132AA	OTHER	NC	BCBS ID #
2	9488532	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689664039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA PETER HAND M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1729
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39403-1729
Country	:	US
Telephone Number	:	601-545-8700
Fax Number	:	601-758-4615

Provider Business Practice Location Address
First Line	:	404 MAIN STREET
Second Line	:
City	:	NEW AUGUSTA
State	:	MS
Zip	:	39462-9788
Country	:	US
Telephone Number	:	601-964-8391
Fax Number	:	601-964-8393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	02/07/2020

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Directions to “ JOSHUA PETER HAND M.D.” Practice Location

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