Hattiesburg Clinic Pa in Petal - Family Medicine
Hattiesburg Clinic Pa - NPI 1649356767
Hattiesburg Clinic Pa is a Family Medicine in Petal, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Hattiesburg Clinic Pa is 1649356767. The last update date is 2021-02-18.
Hattiesburg Clinic Pa's current location address is 15 Pumping Station Rd, Petal, Mississippi. You can contact this provider via phone number 6015831559 and fax number 6015831573. The mailing address for Hattiesburg Clinic Pa is 15 Pumping Station Rd, Petal, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Clinic Pa |
|---|---|
| Address | 15 Pumping Station Rd, Petal, Mississippi |
| Phone Number | 6015831559 |
| Fax Number | 6015831573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Credentials | MD |
| Telephone Number | 6012646000 |
NPI Number Detail
| NPI Number | 1649356767 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 15 Pumping Station Rd |
|---|---|
| City | Petal |
| State | Mississippi (MS) |
| Post Code | 394658325 |
| Phone Number | 6015831559 |
| Fax Number | 6015831573 |
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 |
|---|---|---|---|
| 9014620 | MS | -- |
Post Comment/ Review Below
What is the unique identification 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) 1649356767. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Hattiesburg Clinic Pa located?
The Hattiesburg Clinic Pa is located at 15 Pumping Station Rd, Petal, MS 394658325.
What is Hattiesburg Clinic Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Hattiesburg Clinic Pa is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When was the Hattiesburg Clinic Pa's 1649356767 issued?
The Hattiesburg Clinic Pa's 1649356767 was issued on 2006-10-31.
When was the information related to Hattiesburg Clinic Pa most recently updated or refreshed?
The details pertaining to the Hattiesburg Clinic Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-18.