Individual
MR. WILLIAM CHAD PATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5383
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R850167
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03728800
—
MS
01
—
5092536
CIGNA
MS
01
—
9064175
AETNA
MS
Enumeration date
04/19/2006
Last updated
08/10/2020
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