Healthcare Provider Details

I. General information

NPI: 1851431159
Provider Name (Legal Business Name): DAVID IAN WEISS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 U S HIGHWAY 98 STE 220
HATTIESBURG MS
39402-8557
US

IV. Provider business mailing address

7100 U S HIGHWAY 98 STE 220
HATTIESBURG MS
39402-8557
US

V. Phone/Fax

Practice location:
  • Phone: 601-582-7655
  • Fax: 601-724-7197
Mailing address:
  • Phone: 601-582-7655
  • Fax: 601-724-7197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number15589
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: