Organization · Type 2 NPI
Hattiesburg Clinic, P.a
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Silver Creek, MS
NPI number
1982649620
Active
Practice location
21 Emu Lane
Silver Creek, MS 39663
Fax (601) 886-0106
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...
About NPI 1982649620
Hattiesburg Clinic, P.a's National Provider Identifier is 1982649620, issued on Jun 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Silver Creek, MS. The record was last updated on Feb 23, 2021.