Organization
PISCIOTTA MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BAIN (ADMINISTRATOR)
(228) 388-4585
Entity
Organization
Contact information
Practice address
2781 C T SWITZER SR DR STE 400, BILOXI, MS 39531-4535
(228) 388-4585
(228) 385-7610
Mailing address
2781 C T SWITZER SR DR STE 400, BILOXI, MS 39531-4535
(228) 388-4585
(228) 385-7610
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123600
—
MS
Enumeration date
08/21/2019
Last updated
10/07/2020
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