Hattiesburg Clinic, Pa in Hattiesburg - End-stage Renal Disease (esrd) Treatment
Hattiesburg Clinic, Pa - NPI 1508899824
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 1508899824. 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 6019282998 and fax number 6019282967. 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 | 6019282998 |
| Fax Number | 6019282967 |
| 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 | 1508899824 |
|---|---|
| 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 | 6019282998 |
| Fax Number | 6019282967 |
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 | |
| 220236 | MS | -- | |
| 50533 | MS | BLUE CROSS BLUE SHIELD 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) 1508899824. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Hattiesburg Clinic, Pa located?
The Hattiesburg Clinic, Pa is located at 415 S 28Th Ave, Hattiesburg, MS 394017246.
What is Hattiesburg Clinic, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Hattiesburg Clinic, Pa is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
When did the Hattiesburg Clinic, Pa receive its 1508899824?
The Hattiesburg Clinic, Pa was issued its 1508899824 on 2006-07-09, which is the date when the organization was assigned this unique identifier.
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.
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