institution
Hattiesburg Clinic, Pa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Picayune, Mississippi
NPI 1477586782

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 Picayune, MS. The NPI Number for Hattiesburg Clinic, Pa is 1477586782 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, Pa is 1835 Cooper Rd, Picayune, MS and can be reached out via phone at 601-798-8951 and via fax at 601-798-6939.

Location: 1835 Cooper Rd, Picayune, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1477586782
Provider Name
Hattiesburg Clinic, Pa
Credential
Provider Entity Type
Organization
Address
1835 Cooper Rd, Picayune, MS, 39401-7246
Phone Number
601-798-8951
Fax Number
601-798-6939
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
000050280 01 MS BLUE CROSS BLUE SHIELD MS
00020345 05 MS
institution
Provider Business Practice Location Address Details
Address
1835 Cooper Rd
City
State
Zip
39466-2838
Phone Number
601-798-8951
Fax Number
601-798-6939
person
Provider Business Mailing Address Details
Address
1835 Cooper Rd
City
State
Zip
39466-2838
Phone Number
601-798-8951
Fax Number
601-798-6939
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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