Hattiesburg Clinic Pa in Hattiesburg - Ambulatory Surgical
Hattiesburg Clinic Pa - NPI 1093736795
Hattiesburg Clinic Pa is a Ambulatory Surgical in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Hattiesburg Clinic Pa is 1093736795. 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 6015795488 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 | 6015795488 |
| Fax Number | 6015795240 |
| 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 | 1093736795 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| 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 | 6015795488 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770554 | MS | -- | |
| 1503916 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1093736795 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Hattiesburg Clinic Pa is physically located?
The Hattiesburg Clinic Pa is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS 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 Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093736795 to Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa received its 1093736795 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the Hattiesburg Clinic Pa's information last updated?
The Hattiesburg Clinic Pa's information was last updated on 2020-10-07.