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NPI Profile for HATTIESBURG CLINIC PA in HATTIESBURG, MS.
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Body Imaging |
2085B0100X | |||
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Diagnostic Ultrasound |
2085U0001X | |||
Neuroradiology |
2085N0700X | |||
Nuclear Radiology |
2085N0904X | |||
Pediatric Radiology |
2085P0229X | |||
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1265502652 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/09/2006 | |
| Last updated | 10/07/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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HATTIESBURG CLINIC PA
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HATTIESBURG CLINIC PA