Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greg Lauritz Ichtertz, MD

Individual provider Hospitalist Physician · NPI 1598884454

Greg Lauritz Ichtertz, MD is a Hospitalist Physician in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 288-4329
Fax: (601) 288-3191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 19698 (MS)

Record details

NPI number1598884454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJanuary 30, 2015
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

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