Hattiesburg Clinic Pa in Hattiesburg - Pediatrics
Hattiesburg Clinic Pa - NPI 1730276098
Hattiesburg Clinic Pa is a Pediatrics in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Hattiesburg Clinic Pa is 1730276098. 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 6015795463 and fax number 6015795240. 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 | 6015795463 |
| Fax Number | 6015795240 |
| 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 | 1730276098 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| 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 | 6015795463 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016070 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1730276098, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa is situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the zip code 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 Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730276098 to Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa received its 1730276098 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.
As of what date were the details related to Hattiesburg Clinic Pa most recently updated or revised?
The information pertaining to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-22.