Organization · Type 2 NPI
Hattiesburg Clinic, PA
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hattiesburg, MS
NPI number
1720011026
Active
Practice location
5909 U S Highway 49 Ste 10
Hattiesburg, MS 39402-2860
Fax (601) 296-2961
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Hattiesburg
About NPI 1720011026
Hattiesburg Clinic, PA's National Provider Identifier is 1720011026, issued on Jul 9, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 22, 2021.