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DR. TOMMIE BRIAN STRETCH M.D. NPI 1174576730


NPI Information

NPI: 1174576730
Provider Name: DR. TOMMIE BRIAN STRETCH, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
55 SERGEANT PRENTISS DR
SUITE 7
NATCHEZ, MS
ZIP 39120
Phone: (601) 445-9543
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DR. Tommie Brian Stretch, M.D. is a pediatrics in Natchez, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Tommie Brian Stretch, M.D. NPI is 1174576730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 SERGEANT PRENTISS DR
SUITE 7
NATCHEZ, MS
ZIP 39120-782
Phone: (601) 445-9543
Fax: (601) 445-9803

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics019243LOUISIANAYes
2208000000XPediatrics12805MISSISSIPPINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11928291MEDICAIDLOUISIANA
200113941MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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