Organization · Type 2 NPI

Hattiesburg Clinic PA

Multi-Specialty Clinic/Center · Hattiesburg, MS

NPI number 1740213446 Active

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Fax (601) 579-5240

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1740213446

Hattiesburg Clinic PA's National Provider Identifier is 1740213446, issued on Jul 8, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 7, 2020.