Organization · Type 2 NPI

Hattiesburg Clinic, PA

Family Medicine Physician · Hattiesburg, MS

NPI number 1679053979 Active

Practice location

South 28th Avenue Family Medicine, 1101 South 28th Avenue, Suite C
Hattiesburg, MS 39402

Call (601) 261-1670 Map

Fax (601) 579-5240

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None 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.

Other family medicine physician providers in Hattiesburg

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NPI record

NPI: 1679053979
Entity type: Organization (Type 2)
Issued: Aug 16, 2018
Last updated: Feb 22, 2021
Status: Active

Other names

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South 28th Avenue Family Medicine · doing business as
South 28th Avenue Family Medicine · doing business as

Authorized official

Bryan N Batson
Executive Director
(601) 264-6000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679053979

Hattiesburg Clinic, PA's National Provider Identifier is 1679053979, issued on Aug 16, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 22, 2021.