Individual provider · Type 1 NPI
Ebony Wyatt, CPT
Technician · Columbia, MS
Practice location
811 Main St Ste 17
Columbia, MS 39429-2711
Mailing address
102 Lexington Dr
Hattiesburg, MS 39402-9313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician Primary | 374700000X | Z6Y4T5D7 (MS) |
Technician: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, th…
About NPI 1902772148
Ebony Wyatt, CPT's National Provider Identifier is 1902772148, issued on Oct 15, 2025. The primary taxonomy on file is Technician (374700000X), and the practice location is in Columbia, MS. The record was last updated on Oct 15, 2025.