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

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone 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

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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.