Male or Other

Nathaniel Nowacki M.D.

Neurology Physician in Hattiesburg, MS(View on Map)

Full Name

Nathaniel Nowacki M.D.

NPI Number

1508201872

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2013

Specialties

(Taxonomies)

Code

2084N0400X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

26713

Contact
Information

Purpose

Mailing
Location

Address

415 S 28TH AVE
415 S 28TH AVE

City

Hattiesburg
Hattiesburg

State

MS
MS

Postal Code

39401-7246
39401-7246

Country

US
US

Telephone Number

(601) 288-4329
(601) 288-4329

Identifiers

Identifier

05304297

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/30/2019

Provider Address

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