Hattiesburg Clinic Pa in Hattiesburg - Dermatology

Hattiesburg Clinic Pa - NPI 1851488118

Hattiesburg Clinic Pa is a Dermatology in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Hattiesburg Clinic Pa is 1851488118. The last update date is 2021-02-23.

Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685252 and fax number 6012963501. The mailing address for Hattiesburg Clinic Pa is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hattiesburg Clinic Pa
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6012685252
Fax Number 6012963501
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Batson N Bryan
Telephone Number 6012646000

NPI Number Detail

NPI Number 1851488118
Provider Enumeration Date 2006-10-06
Last Updated Date 2021-02-23

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6012685252
Fax Number 6012963501

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2756871 MS --

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FAQs about Hattiesburg Clinic Pa

What is the unique identifier code issued to Hattiesburg Clinic Pa by the Centers for Medicare & Medicaid Services?

The Hattiesburg Clinic Pa has been assigned the NPI (National Provider Identifier) 1851488118. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Hattiesburg Clinic Pa is physically located?

The Hattiesburg Clinic Pa is physically situated at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.

What is the Hattiesburg Clinic Pa's area of specialization and corresponding taxonomy classification?

The Hattiesburg Clinic Pa's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

When did Hattiesburg Clinic Pa receive its 1851488118 assignment?

The Hattiesburg Clinic Pa was assigned its 1851488118 on 2006-10-06, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Hattiesburg Clinic Pa most recently updated or revised?

The information pertaining to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-23.

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