Hattiesburg Clinic Pa in Hattiesburg - Family Medicine
Hattiesburg Clinic Pa - NPI 1265528160
Hattiesburg Clinic Pa is a Family Medicine in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Hattiesburg Clinic Pa is 1265528160. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6017654414 and fax number 6017659141. 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 | 6017654414 |
| Fax Number | 6017659141 |
| 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 | 1265528160 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6017654414 |
| Fax Number | 6017659141 |
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 |
|---|---|---|---|
| 9014138 | MS | -- |
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What is the Hattiesburg Clinic Pa's unique identification number?
The Hattiesburg Clinic Pa has been assigned the NPI (National Provider Identifier) Number 1265528160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Hattiesburg Clinic Pa located?
The Hattiesburg Clinic Pa is located at 415 S 28Th Ave, Hattiesburg, MS 394017246.
What is Hattiesburg Clinic Pa's area of expertise and its corresponding taxonomy classification?
The Hattiesburg Clinic Pa's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the Hattiesburg Clinic Pa's 1265528160 issued?
The Hattiesburg Clinic Pa's 1265528160 was issued on 2006-10-05.
When was the information pertaining to Hattiesburg Clinic Pa most recently updated or revised?
The details related to Hattiesburg Clinic Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-07.