institution
Hattiesburg Clinic, Pa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hattiesburg, Mississippi
NPI 1720011026

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 Hattiesburg, MS. The NPI Number for Hattiesburg Clinic, Pa is 1720011026 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, Pa is 5909 U S Highway 49 Ste 10, Hattiesburg, MS and can be reached out via phone at 601-296-2960 and via fax at 601-296-2961.

Location: 5909 U S Highway 49 Ste 10, Hattiesburg, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1720011026
Provider Name
Hattiesburg Clinic, Pa
Credential
Provider Entity Type
Organization
Address
5909 U S Highway 49 Ste 10, Hattiesburg, MS, 39401-7246
Phone Number
601-296-2960
Fax Number
601-296-2961
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000050260 01 MS BLUE CROSS BLUE SHIELD MS
5000477 01 MS UNITED HEALTHCARE
00020337 05 MS
institution
Provider Business Practice Location Address Details
Address
5909 U S Highway 49 Ste 10
City
State
Zip
39402-2860
Phone Number
601-296-2960
Fax Number
601-296-2961
person
Provider Business Mailing Address Details
Address
5909 U S Highway 49 Ste 10
City
State
Zip
39402-2860
Phone Number
601-296-2960
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
License No.
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Definition
Definition to come...
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