institution
Hattiesburg Clinic, Pa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bay Springs, Mississippi
NPI 1669405981

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 Bay Springs, MS. The NPI Number for Hattiesburg Clinic, Pa is 1669405981 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, Pa is 14 Bay Ave, Bay Springs, MS and can be reached out via phone at 601-764-6427 and via fax at 601-764-6429.

Location: 14 Bay Ave, Bay Springs, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1669405981
Provider Name
Hattiesburg Clinic, Pa
Credential
Provider Entity Type
Organization
Address
14 Bay Ave, Bay Springs, MS, 39401-7246
Phone Number
601-764-6427
Fax Number
601-764-6429
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
00220502 05 MS
000050575 01 MS BLUE CROSS BLUE SHIELD MS
institution
Provider Business Practice Location Address Details
Address
14 Bay Ave
City
State
Zip
39422-9206
Phone Number
601-764-6427
Fax Number
601-764-6429
person
Provider Business Mailing Address Details
Address
14 Bay Ave
City
State
Zip
39422-9206
Phone Number
601-764-6427
Fax Number
601-764-6429
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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