Provider Demographics
NPI:1689664039
Name:HAND, JOSHUA PETER (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:PETER
Last Name:HAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1729
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39403-1729
Mailing Address - Country:US
Mailing Address - Phone:601-545-8700
Mailing Address - Fax:601-758-4615
Practice Address - Street 1:404 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEW AUGUSTA
Practice Address - State:MS
Practice Address - Zip Code:39462-9788
Practice Address - Country:US
Practice Address - Phone:601-964-8391
Practice Address - Fax:601-964-8393
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22648207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC132AAOtherBCBS ID #
9488532OtherAETNA
MS05008582Medicaid
NC89132AAMedicaid
NC080189239OtherMEDICARE RAILROAD ID #
9488532OtherAETNA