Organization · Type 2 NPI

Hattiesburg Clinic, P.a.

Gynecology Physician · Hattiesburg, MS

NPI number 1518175314 Active

Practice location

421 S 28th Ave
Hattiesburg, MS 39401-7206

Fax (601) 261-3507

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNone listed
Plastic Surgery Physician 208200000XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

22 other providers at this address

About NPI 1518175314

Hattiesburg Clinic, P.a.'s National Provider Identifier is 1518175314, issued on May 18, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 18, 2021.