Individual provider · Type 1 NPI

Katharyn Mary

Physician Assistant · Hattiesburg, MS

NPI number 1194512061 Active

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Call (601) 268-5650 Map

Fax (601) 579-5212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00912 (MS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194512061

Katharyn Mary's National Provider Identifier is 1194512061, issued on Apr 23, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 29, 2025.