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Hattiesburg Clinic, P.a.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pachuta, Mississippi
NPI 1255529228

Hattiesburg Clinic, P.a. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Hattiesburg, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Hattiesburg Clinic, P.a. practices in Pachuta, MS. The NPI Number for Hattiesburg Clinic, P.a. is 1255529228 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, P.a. is 180 East Main Street, Pachuta, MS and can be reached out via phone at 601-296-2902 and via fax at 601-296-2961.

Location: 180 East Main Street, Pachuta, MS, 39402-2860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255529228
Provider Name
Hattiesburg Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
180 East Main Street, Pachuta, MS, 39402-2860
Phone Number
601-296-2902
Fax Number
601-296-2961
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09856336 05 MS
institution
Provider Business Practice Location Address Details
Address
180 East Main Street
City
Pachuta
State
Mississippi
Zip
39347
Phone Number
601-296-2902
Fax Number
601-296-2961
person
Provider Business Mailing Address Details
Address
180 East Main Street
City
Pachuta
State
Mississippi
Zip
39347
Phone Number
601-296-2902
Fax Number
601-296-2961
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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