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Contact Information

AMANDA L WITT, MD
2500 N STATE ST
DEPARTMENT OF NEUROLOGY
JACKSON, MS39216-4500
 Phone: 601-984-2940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for AMANDA L WITT · (Female)

NPI Number 1386840619
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2007
Last updated 06/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A112554
  • MS License # 21455
  • TX License # N7189
  • AL Medicaid 157100
  • MS Medicaid 06252590
  • MS Other P01648523 RAILROAD MEDICARE PTAN
Hospital affiliation(s)
  • MISSISSIPPI METHODIST REHAB CTR - (Acute Care)
    1350 E WOODROW WILSON DR
    JACKSON, MS 39216
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
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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