institution
Hattiesburg Clinic, Pa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Waynesboro, Mississippi
NPI 1437182748

Hattiesburg Clinic, Pa 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, Pa practices in Waynesboro, MS. The NPI Number for Hattiesburg Clinic, Pa is 1437182748 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, Pa is 950 Matthew Dr, Waynesboro, MS and can be reached out via phone at 601-735-5858 and via fax at 601-735-0511.

Location: 950 Matthew Dr, Waynesboro, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1437182748
Provider Name
Hattiesburg Clinic, Pa
Credential
Provider Entity Type
Organization
Address
950 Matthew Dr, Waynesboro, MS, 39401-7246
Phone Number
601-735-5858
Fax Number
601-735-0511
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5000477 01 MS UNITED HEALTHCARE
000050527 01 MS BLUE CROSS BLUE SHIELD MS
00220063 05 MS
institution
Provider Business Practice Location Address Details
Address
950 Matthew Dr
City
State
Zip
39367
Phone Number
601-735-5858
Fax Number
601-735-0511
person
Provider Business Mailing Address Details
Address
950 Matthew Dr
City
State
Zip
39367
Phone Number
601-735-5858
Fax Number
601-735-0511
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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