Organization · Type 2 NPI
Hattiesburg Clinic, P.a.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pachuta, MS
NPI number
1255529228
Active
Practice location
180 East Main Street
Pachuta, MS 39347
Fax (601) 296-2961
Mailing address
5909 Highway 49, Suite 10
Hattiesburg, MS 39402-2860
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 1255529228
Hattiesburg Clinic, P.a.'s National Provider Identifier is 1255529228, issued on Oct 4, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pachuta, MS. The record was last updated on Jun 14, 2023.