institution
Hattiesburg Clinic Pa
Mammography Clinic/Center in Hattiesburg, Mississippi
NPI 1124181334

Hattiesburg Clinic Pa is a Mammography Clinic/Center based in Hattiesburg, MS and is specialized in Radiology, Mammography. Hattiesburg Clinic Pa practices in Hattiesburg, MS. The NPI Number for Hattiesburg Clinic Pa is 1124181334 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 601-268-5744 and via fax at 601-268-5868.

Location: 415 S 28Th Ave, Hattiesburg, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1124181334
Provider Name
Hattiesburg Clinic Pa
Credential
Provider Entity Type
Organization
Address
415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5744
Fax Number
601-268-5868
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
503777 05 MS
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-268-5744
Fax Number
601-268-5868
person
Provider Business Mailing Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-268-5744
Fax Number
601-268-5868
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
License No.
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Definition
Definition to come...
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