Hattiesburg Clinic Pa in Hattiesburg - Body Imaging
Hattiesburg Clinic Pa - NPI 1265502652
Hattiesburg Clinic Pa is a Body Imaging in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Hattiesburg Clinic Pa is 1265502652. 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 6015264600 and fax number 6012685813. 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 | 6015264600 |
| Fax Number | 6012685813 |
| 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 | 1265502652 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| 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 | 6015264600 |
| Fax Number | 6012685813 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 503777 | MS | -- |
Post Comment/ Review Below
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) 1265502652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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 code that categorizes this area of expertise?
The area of specialization for Hattiesburg Clinic Pa is Body Imaging, and the taxonomy code that classifies this field of practice is 2085B0100X.
On what date was the 1265502652 assigned to Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa was issued its 1265502652 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Hattiesburg Clinic Pa last refreshed?
The information related to the Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last updated on 2020-10-07.