Organization · Type 2 NPI

Hattiesburg Clinic PA

Ambulatory Surgical Clinic/Center · Hattiesburg, MS

NPI number 1093736795 Active

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Call (601) 579-5075 Map

Fax (601) 579-5039

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1093736795

Hattiesburg Clinic PA's National Provider Identifier is 1093736795, issued on Jul 21, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 7, 2020.