Hattiesburg Clinic Pa in Hattiesburg - Family Medicine
Hattiesburg Clinic Pa - NPI 1720188030
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 1720188030. The last update date is 2021-02-22.
Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795463 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 | 6015795463 |
| Fax Number | 6015795240 |
| 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 | 1720188030 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2021-02-22 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015795463 |
| Fax Number | 6015795240 |
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 |
|---|---|---|---|
| 5657575 | MS | -- |
Post Comment/ Review Below
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) 1720188030 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Hattiesburg Clinic Pa's facilities are situated?
The facilities of Hattiesburg Clinic Pa are physically located at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is the Hattiesburg Clinic Pa's specialty and taxonomy code?
The Hattiesburg Clinic Pa's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720188030 to Hattiesburg Clinic Pa?
The Centers for Medicare & Medicaid Services originally issued the 1720188030 to Hattiesburg Clinic Pa on 2006-09-25.
As of what date were the details pertaining to Hattiesburg Clinic Pa last refreshed?
The information related to the Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last updated on 2021-02-22.
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