Individual
TASHEITHA ANAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 PLANTERS PT, HATTIESBURG, MS 39402-8544
(601) 597-0281
Mailing address
23 PLANTERS PT, HATTIESBURG, MS 39402-8544
(601) 597-0281
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24555
MS
2084P0800X
Psychiatry Physician
MD 38622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05903032
—
MS
Enumeration date
04/10/2011
Last updated
06/29/2021
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