Organization · Type 2 NPI
Hattiesburg Clinic PA
Sports Medicine (Preventive Medicine) Physician · Hattiesburg, MS
NPI number
1871674754
Active
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Fax (601) 268-5756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | None listed |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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About NPI 1871674754
Hattiesburg Clinic PA's National Provider Identifier is 1871674754, issued on Oct 18, 2006. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 23, 2021.