institution
Hattiesburg Clinic, Pa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Collins, Mississippi
NPI 1457384778

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 Collins, MS. The NPI Number for Hattiesburg Clinic, Pa is 1457384778 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, Pa is 15 Covington Ridge Pl, Collins, MS and can be reached out via phone at 601-765-2711 and via fax at 601-765-0411.

Location: 15 Covington Ridge Pl, Collins, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1457384778
Provider Name
Hattiesburg Clinic, Pa
Credential
Provider Entity Type
Organization
Address
15 Covington Ridge Pl, Collins, MS, 39401-7246
Phone Number
601-765-2711
Fax Number
601-765-0411
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5000477 01 MS UNITED HEALTHCARE
00220554 05 MS
000050578 01 MS BLUE CROSS BLUE SHIELD MS
institution
Provider Business Practice Location Address Details
Address
15 Covington Ridge Pl
City
State
Zip
39428-3899
Phone Number
601-765-2711
Fax Number
601-765-0411
person
Provider Business Mailing Address Details
Address
15 Covington Ridge Pl
City
State
Zip
39428-3899
Phone Number
601-765-2711
Fax Number
601-765-0411
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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