Individual
DR. MATTHEW BRETT HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1151 N STATE ST STE 404, JACKSON, MS 39202-2457
(601) 292-4261
(601) 292-4262
Mailing address
111 EDENBERG BND, MADISON, MS 39110-2302
(601) 319-6015
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
55769
MS
2085R0202X
Diagnostic Radiology Physician
DO-06090
IA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
27446
MS
2085R0204X
Vascular & Interventional Radiology Physician
DO-06090
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2014
Last updated
11/30/2022
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