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Contact Information

NATHANIEL NOWACKI, MD
415 S 28TH AVE
HATTIESBURG, MS39401-7246
 Phone: 601-288-4329
 Fax: 601-288-3191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NATHANIEL NOWACKI · (Male)

NPI # 1508201872
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2013
Last updated 08/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 26713
  • MS Medicaid 05304297
Hospital affiliation(s)
  • FORREST GENERAL HOSPITAL - (Acute Care)
    6051 US HIGHWAY 49
    HATTIESBURG, MS 39404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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