Organization · Type 2 NPI

Hattiesburg Clinic PA

Family Medicine Physician · Ellisville, MS

NPI number 1457451775 Active

Practice location

822 Main St
Ellisville, MS 39437-2425

Fax (601) 477-9942

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1457451775

Hattiesburg Clinic PA's National Provider Identifier is 1457451775, issued on Sep 25, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ellisville, MS. The record was last updated on Feb 18, 2021.