Hattiesburg Clinic Pa in Taylorsville - Family Medicine
Hattiesburg Clinic Pa - NPI 1104910322
Hattiesburg Clinic Pa is a Family Medicine in Taylorsville, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Hattiesburg Clinic Pa is 1104910322. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 300 Pine St, Taylorsville, Mississippi. You can contact this provider via phone number 6017856911 and fax number 6017856988. The mailing address for Hattiesburg Clinic Pa is 300 Pine St, Taylorsville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Clinic Pa |
|---|---|
| Address | 300 Pine St, Taylorsville, Mississippi |
| Phone Number | 6017856911 |
| Fax Number | 6017856988 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Credentials | MD |
| Telephone Number | 6012685601 |
NPI Number Detail
| NPI Number | 1104910322 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 300 Pine St |
|---|---|
| City | Taylorsville |
| State | Mississippi (MS) |
| Post Code | 391685432 |
| Phone Number | 6017856911 |
| Fax Number | 6017856988 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014991 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Hattiesburg Clinic Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Hattiesburg Clinic Pa has been assigned the NPI (National Provider Identifier) 1104910322. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Hattiesburg Clinic Pa located?
The Hattiesburg Clinic Pa is located at 300 Pine St, Taylorsville, MS 391685432.
What is the area of specialization for Hattiesburg Clinic Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Hattiesburg Clinic Pa is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104910322 to Hattiesburg Clinic Pa?
The Centers for Medicare & Medicaid Services assigned the 1104910322 to Hattiesburg Clinic Pa on 2006-10-03.
As of what date was the information pertaining to Hattiesburg Clinic Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-07.