Hattiesburg Clinic, Pa in Hattiesburg - End-stage Renal Disease (esrd) Treatment
Hattiesburg Clinic, Pa - NPI 1437182748
Hattiesburg Clinic, Pa is a End-stage Renal Disease (esrd) Treatment in Hattiesburg, Mississippi. Hattiesburg Clinic, Pa practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Hattiesburg Clinic, Pa is 1437182748. The last update date is 2021-02-18.
Hattiesburg Clinic, Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6017355858 and fax number 6017350511. 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 | 6017355858 |
| Fax Number | 6017350511 |
| 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 | 1437182748 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6017355858 |
| Fax Number | 6017350511 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5000477 | MS | UNITED HEALTHCARE | |
| 50527 | MS | BLUE CROSS BLUE SHIELD MS | |
| 220063 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Hattiesburg Clinic, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Hattiesburg Clinic, Pa has been assigned the NPI (National Provider Identifier) 1437182748. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Hattiesburg Clinic, Pa is geographically located?
The Hattiesburg Clinic, Pa is physically situated at the following location: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is the Hattiesburg Clinic, Pa's specialty and taxonomy code?
The Hattiesburg Clinic, Pa's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437182748 to Hattiesburg Clinic, Pa?
The Centers for Medicare & Medicaid Services assigned the 1437182748 to Hattiesburg Clinic, Pa on 2006-07-09.
As of what date was the information regarding Hattiesburg Clinic, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Hattiesburg Clinic, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-02-18.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC