Hattiesburg Clinic Pa in Hattiesburg - Cardiovascular Disease

Hattiesburg Clinic Pa - NPI 1568559813

Hattiesburg Clinic Pa is a Cardiovascular Disease in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Hattiesburg Clinic Pa is 1568559813. 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 6012685800 and fax number 6012613530. 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 6012685800
Fax Number 6012613530
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 1568559813
Provider Enumeration Date 2006-10-06
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 6012685800
Fax Number 6012613530

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8080745 MS --

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FAQs about Hattiesburg Clinic Pa

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

The Hattiesburg Clinic Pa has been assigned the NPI (National Provider Identifier) 1568559813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Hattiesburg Clinic Pa is physically located?

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

What is the area of specialization for Hattiesburg Clinic Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Hattiesburg Clinic Pa is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.

When did Hattiesburg Clinic Pa receive its 1568559813 assignment?

The Hattiesburg Clinic Pa was assigned its 1568559813 on 2006-10-06, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Hattiesburg Clinic Pa most recently updated or revised?

The details related to Hattiesburg Clinic Pa, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-18.

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