Organization · Type 2 NPI
Hattiesburg Clinic, PA
Primary Care Clinic/Center · Hattiesburg, MS
NPI number
1780275495
Active
Practice location
Orleans Park Family Medicine, 15 Orleans Drive
Hattiesburg, MS 39402
Fax (601) 296-6872
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1780275495
Hattiesburg Clinic, PA's National Provider Identifier is 1780275495, issued on Jan 27, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hattiesburg, MS. The record was last updated on Jan 27, 2021.