Hattiesburg Clinic Pa in Hattiesburg - Otolaryngology
Hattiesburg Clinic Pa - NPI 1003905076
Hattiesburg Clinic Pa is a Otolaryngology in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Hattiesburg Clinic Pa is 1003905076. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015793310 and fax number 6012640231. 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 | 6015793310 |
| Fax Number | 6012640231 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Credentials | MD |
| Telephone Number | 6012685601 |
NPI Number Detail
| NPI Number | 1003905076 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015793310 |
| Fax Number | 6012640231 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4422066 | MS | -- |
Post Comment/ Review Below
What is the unique identifier 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) 1003905076. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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 Hattiesburg Clinic Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hattiesburg Clinic Pa's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Hattiesburg Clinic Pa receive its 1003905076 assignment from the Centers for Medicare & Medicaid Services?
The Hattiesburg Clinic Pa was assigned its 1003905076 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information regarding Hattiesburg Clinic Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-07.