Hattiesburg Clinic Pa in Hattiesburg - Internal Medicine
Hattiesburg Clinic Pa - NPI 1386733350
Hattiesburg Clinic Pa is a Internal Medicine in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Hattiesburg Clinic Pa is 1386733350. 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 6015441261 and fax number 6015839993. 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 | 6015441261 |
| Fax Number | 6015839993 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Telephone Number | 6012646000 |
NPI Number Detail
| NPI Number | 1386733350 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| 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 | 6015441261 |
| Fax Number | 6015839993 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5478571 | 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) 1386733350 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa is physically situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the postal code 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 Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386733350 to Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa received its 1386733350 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the Hattiesburg Clinic Pa's details last updated?
The information pertaining to the Hattiesburg Clinic Pa, including its address, specialty, and other details, was most recently updated on 2021-02-18.