Hattiesburg Clinic Pa in Hattiesburg - Dermatopathology
Hattiesburg Clinic Pa - NPI 1770672768
Hattiesburg Clinic Pa is a Dermatopathology in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Hattiesburg Clinic Pa is 1770672768. 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 6015795261 and fax number 6015795257. 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 | 6015795261 |
| Fax Number | 6015795257 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Telephone Number | 6012646000 |
NPI Number Detail
| NPI Number | 1770672768 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| 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 | 6015795261 |
| Fax Number | 6015795257 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Zd0900X |
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Definition: A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8722873 | MS | -- |
Post Comment/ Review Below
What is the unique identification 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) 1770672768. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Hattiesburg Clinic Pa's facilities are geographically located?
The facilities of Hattiesburg Clinic Pa are physically situated at the following location: 415 S 28Th Ave, Hattiesburg, MS, 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 Dermatopathology, and the corresponding taxonomy code that categorizes this field of practice is 207Zd0900X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770672768 to Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa received its 1770672768 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the Hattiesburg Clinic Pa's information last updated?
The Hattiesburg Clinic Pa's information was last updated on 2021-02-22.