Healthcare Provider Details

I. General information

NPI: 1669167847
Provider Name (Legal Business Name): CHRISTOPHER THOMAS HUDSPETH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7148 U S HIGHWAY 98 STE 101
HATTIESBURG MS
39402-9133
US

IV. Provider business mailing address

415 S 28TH AVE
HATTIESBURG MS
39401-7246
US

V. Phone/Fax

Practice location:
  • Phone: 601-261-1500
  • Fax: 769-207-6142
Mailing address:
  • Phone: 601-264-6000
  • Fax: 769-207-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number352621
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36897
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: