Organization · Type 2 NPI
Hattiesburg Clinic PA
Cardiovascular Disease Physician · Laurel, MS
NPI number
1689763534
Active
Practice location
404 S 13th Ave
Laurel, MS 39440-4345
Fax (601) 288-8338
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | None listed |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3 other providers at this address
Other cardiovascular disease physician providers in Laurel
About NPI 1689763534
Hattiesburg Clinic PA's National Provider Identifier is 1689763534, issued on Oct 11, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Laurel, MS. The record was last updated on May 20, 2026.