| Greg Lauritz Ichtertz, MD | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 288-4329 | |
| (601) 288-3191 |
| Full Name | Greg Lauritz Ichtertz |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 415 S 28th Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598884454 | NPI | - | NPPES |
| 04936743 | Medicaid | MS | |
| 4045721 | Other | MS | AETNA |
| P00420680 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 19698 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Lauritz Ichtertz, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463 | Greg Lauritz Ichtertz, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 288-4329 |
Mohammad Iffat Kabir Anindo, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-4329 Fax: 601-579-5240 | |
Manjunath Ramaiah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-4329 Fax: 601-288-3191 | |
George E Habeeb Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-4329 Fax: 601-288-3191 | |
Thomas E King Iii, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-4329 Fax: 601-288-3191 | |
Ralph C Kahler, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-296-2976 Fax: 601-579-5240 | |
Dr. Kelly W Ryder, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-4329 | |
Mansoor Ahmad, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-4329 |