Individual
GEOFFREY B HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5620
(601) 268-5851
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
09059
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019370
—
MS
01
—
1558946
AMERICAN ADMIN GROUP
MS
05
—
1589586
—
LA
01
—
409113663
RAILROAD MEDICARE
—
Enumeration date
08/12/2006
Last updated
01/30/2015
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