Bridget Y Tah-Clayton in Hattiesburg - Internal Medicine

Bridget Y Tah-Clayton - NPI 1700877537

Bridget Y Tah-Clayton is a Internal Medicine in Hattiesburg, Mississippi. Bridget Y Tah-Clayton practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bridget Y Tah-Clayton is 1700877537. The last update date is 2016-08-23.

Bridget Y Tah-Clayton's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015793025 and fax number 6015795240. The mailing address for Bridget Y Tah-Clayton is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Bridget Y Tah-Clayton
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6015793025
Fax Number 6015795240
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1700877537
Provider Enumeration Date 2005-11-01
Last Updated Date 2016-08-23

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6015793025
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 16941
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122708 MS --
P00445048 MS RAILROAD MEDICARE

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FAQs about Bridget Y Tah-Clayton

What is the unique 10-digit identification code assigned to Bridget Y Tah-Clayton by the Centers for Medicare & Medicaid Services?

The Bridget Y Tah-Clayton has been issued the NPI (National Provider Identifier) 1700877537, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Bridget Y Tah-Clayton located?

The Bridget Y Tah-Clayton is located at 415 S 28Th Ave, Hattiesburg, MS 394017246.

What is the Bridget Y Tah-Clayton's specialty and taxonomy code?

The Bridget Y Tah-Clayton's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700877537 to Bridget Y Tah-Clayton?

The Centers for Medicare & Medicaid Services assigned the 1700877537 to Bridget Y Tah-Clayton on 2005-11-01.

When was the information pertaining to Bridget Y Tah-Clayton most recently updated or revised?

The details related to Bridget Y Tah-Clayton, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-23.

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