institution
Hattiesburg Clinic Pa
Ambulatory Surgical Clinic/Center in Hattiesburg, Mississippi
NPI 1093736795

Hattiesburg Clinic Pa is an Ambulatory Surgical Clinic/Center based in Hattiesburg, MS and is specialized in Ambulatory Surgical. Hattiesburg Clinic Pa practices in Hattiesburg, MS. The NPI Number for Hattiesburg Clinic Pa is 1093736795 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic Pa is 415 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-579-5075 and via fax at 601-579-5039. You can also correspond with Hattiesburg Clinic Pa through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-579-5488).

Location: 415 S 28Th Ave, Hattiesburg, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1093736795
Provider Name
Hattiesburg Clinic Pa
Credential
Provider Entity Type
Organization
Address
415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-579-5075
Fax Number
601-579-5039
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770554 05 MS
1503916 05 LA
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-579-5075
Fax Number
601-579-5039
person
Provider Business Mailing Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-579-5488
Fax Number
601-579-5240
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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