institution
Hattiesburg Clinic, Pa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Richton, Mississippi
NPI 1942233283

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 Richton, MS. The NPI Number for Hattiesburg Clinic, Pa is 1942233283 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, Pa is 303 Red Bud Avenue, Richton, MS and can be reached out via phone at 601-788-2555 and via fax at 601-788-5587.

Location: 303 Red Bud Avenue, Richton, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1942233283
Provider Name
Hattiesburg Clinic, Pa
Credential
Provider Entity Type
Organization
Address
303 Red Bud Avenue, Richton, MS, 39401-7246
Phone Number
601-788-2555
Fax Number
601-788-5587
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
000050944 01 MS BLUE CROSS BLUE SHIELD MS
00220600 05 MS
institution
Provider Business Practice Location Address Details
Address
303 Red Bud Avenue
City
State
Zip
39476
Phone Number
601-788-2555
Fax Number
601-788-5587
person
Provider Business Mailing Address Details
Address
303 Red Bud Avenue
City
State
Zip
39476
Phone Number
601-788-2555
Fax Number
601-788-5587
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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