Hattiesburg Clinic Pa in Purvis - Physical Therapist
Hattiesburg Clinic Pa - NPI 1063509370
Hattiesburg Clinic Pa is a Physical Therapist in Purvis, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Hattiesburg Clinic Pa is 1063509370. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 98 Shelby Speights Dr, Purvis, Mississippi. You can contact this provider via phone number 6017942402 and fax number 6017942404. The mailing address for Hattiesburg Clinic Pa is 98 Shelby Speights Dr, Purvis, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Clinic Pa |
|---|---|
| Address | 98 Shelby Speights Dr, Purvis, Mississippi |
| Phone Number | 6017942402 |
| Fax Number | 6017942404 |
| 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 | 1063509370 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 98 Shelby Speights Dr |
|---|---|
| City | Purvis |
| State | Mississippi (MS) |
| Post Code | 394754528 |
| Phone Number | 6017942402 |
| Fax Number | 6017942404 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9656801 | MS | -- |
Post Comment/ Review Below
What is the Hattiesburg Clinic Pa's unique identification number?
The Hattiesburg Clinic Pa has been assigned the NPI (National Provider Identifier) Number 1063509370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa is physically situated at 98 Shelby Speights Dr, in the city of Purvis, state of MS, with the postal code 394754528.
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 Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did Hattiesburg Clinic Pa receive its 1063509370 assignment from the Centers for Medicare & Medicaid Services?
The Hattiesburg Clinic Pa was assigned its 1063509370 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Hattiesburg Clinic Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC