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NPI Code Detail

MEDICARE: DR. JOSEPH BINGHAM WITTY, JR. M.D.

MEDICARE: DR. JOSEPH BINGHAM WITTY, JR. 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
1207V00000XObstetrics & Gynecology Physician10522MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679690523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH BINGHAM WITTY, JR. M.D.
Provider Business Mailing Address
First Line : 2102 5TH ST N
Second Line : SUITE 1
City : COLUMBUS
State : MS
Zip : 39705-2222
Country : US
Telephone Number : 662-329-1393
Fax Number : 662-329-9864
Provider Business Practice Location Address
First Line : 2102 5TH ST N
Second Line : SUITE 1
City : COLUMBUS
State : MS
Zip : 39705-2222
Country : US
Telephone Number : 662-329-1393
Fax Number : 662-329-9864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2007
Last Update Date : 07/09/2007

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