Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 24622 | MS |
Y | 208000000X | Pediatrician | 29667 | AL |
N | 208000000X | Pediatrician | 93923 | MS |
N | 2080A0000X | Adolescent Medicine | 29667 | AL |
N | 2080P0204X | Pediatric Emergency Doctor | 29667 | AL |
N | 2080P0208X | Pediatric Infectious Diseases | 29667 | AL |
N | 2080P0216X | Pediatric Rheumatologist | 29667 | AL |
NPI | 1134350465 |
---|---|
Provider Name | Dr. Natoya Barnett-Grindley |
First Address | Lucedale, MS 39452-1007 |
Second Address | Lucedale, MS 39452-6537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08631263 | (05) | MS |
24622 | STATE LICENSURE (01) | MS |
29667 | STATE LICENSE (01) | AL |