Anutida Charoentong
Anutida Charoentong is an Internal Medicine in Purvis, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 9
- Trained at
- William Carey University College of Osteopathic Medicine
- Licensed in
- MS
- In the registry since
- 2017
Practice location Address checks out
102 Shelby Speights DrPurvis, MS 39475-4151
Phone: (601) 794-8065
Fax: (601) 794-5650
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 27867 (MS) |
|---|
Record details
| NPI number | 1013442904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 27, 2017 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | January 31, 2022 |
| Mailing address | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Group practice | Hattiesburg Clinic Pa — 530 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |