Anazia, Tasheitha

Anazia, Tasheitha is an individual health care provider with primary practice located at 23 Planters Pt , Hattiesburg MS 39402-8544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Anazia, Tasheitha can be contacted via phone (601) 597-0281.

Contact Information

Primary practice address
23 Planters Pt Hattiesburg MS 39402-8544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD 38622 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24555 Mississippi

Profile Details

NPI number 1851681969
LBN Legal business name Anazia, Tasheitha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2011
Last updated Jun 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851681969 NPPES
Mississippi MEDICAID 05903032

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