Organization · Type 2 NPI
Hattiesburg Clinic, PA
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Laurel, MS
NPI number
1245263540
Active
Practice location
1527 Larry Dr
Laurel, MS 39440-1932
Fax (601) 425-1877
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1245263540
Hattiesburg Clinic, PA's National Provider Identifier is 1245263540, issued on Jul 9, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Laurel, MS. The record was last updated on Oct 7, 2020.