institution
Hattiesburg Clinic, P.a
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Silver Creek, Mississippi
NPI 1982649620

Hattiesburg Clinic, P.a 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, P.a practices in Silver Creek, MS. The NPI Number for Hattiesburg Clinic, P.a is 1982649620 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic, P.a is 21 Emu Lane, Silver Creek, MS and can be reached out via phone at 601-886-0072 and via fax at 601-886-0106.

Location: 21 Emu Lane, Silver Creek, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1982649620
Provider Name
Hattiesburg Clinic, P.a
Credential
Provider Entity Type
Organization
Address
21 Emu Lane, Silver Creek, MS, 39401-7246
Phone Number
601-886-0072
Fax Number
601-886-0106
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00050718 01 MS BCBS
5073750 05 MS
institution
Provider Business Practice Location Address Details
Address
21 Emu Lane
City
State
Zip
39663
Phone Number
601-886-0072
Fax Number
601-886-0106
person
Provider Business Mailing Address Details
Address
21 Emu Lane
City
State
Zip
39663
Phone Number
601-886-0072
Fax Number
601-886-0106
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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