Provider Demographics
NPI:1841271293
Name:BARNETT, CHRISTY S (MD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:S
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:S
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16 OFFICE PARK DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-6020
Mailing Address - Country:US
Mailing Address - Phone:601-271-6099
Mailing Address - Fax:601-271-9094
Practice Address - Street 1:16 OFFICE PARK DR
Practice Address - Street 2:SUITE 5
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-6020
Practice Address - Country:US
Practice Address - Phone:601-271-6099
Practice Address - Fax:601-271-9094
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302I113512Medicare PIN
MSG51380Medicare UPIN
MS110001841Medicare PIN