Hattiesburg Clinic Pa in Hattiesburg - Family Medicine

Hattiesburg Clinic Pa - NPI 1265593156

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 1265593156. The last update date is 2021-02-18.

Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795488 and fax number 6015795240. 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 6015795488
Fax Number 6015795240
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1265593156
Provider Enumeration Date 2006-12-13
Last Updated Date 2021-02-18

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6015795488
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1537750 MS --

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FAQs about Hattiesburg Clinic Pa

What is the unique 10-digit identifier code assigned to Hattiesburg Clinic Pa by the Centers for Medicare & Medicaid Services?

The Hattiesburg Clinic Pa has been issued the NPI (National Provider Identifier) 1265593156 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Hattiesburg Clinic Pa is located?

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

What is Hattiesburg Clinic Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Hattiesburg Clinic Pa's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

When did the Hattiesburg Clinic Pa receive its 1265593156?

The Hattiesburg Clinic Pa was issued its 1265593156 on 2006-12-13, which is the date when the organization was assigned this unique identifier.

When was the information regarding Hattiesburg Clinic Pa most recently updated?

The details pertaining to the Hattiesburg Clinic Pa, including its address, specialty, and other relevant information, were last refreshed on 2021-02-18.

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