HATTIESBURG CLINIC PA; NPI #1265502652

Contact Information

HATTIESBURG CLINIC PA

415 S 28TH AVE
HATTIESBURG, MS 39401-7246

Phone: 601-268-5707
Fax: 601-268-5813
Website:

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

Indicates primary specialty

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NPI Profile & details for HATTIESBURG CLINIC PA

NPI Number 1265502652

LBN Legal business name HATTIESBURG CLINIC PA

Authorized official BRYAN BATSON - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/09/2006

Last updated 10/07/2020 - About 6 years ago

Identifiers

Medicaid

00503777

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HATTIESBURG CLINIC PA

Contact Information

Specialty

Body Imaging

Diagnostic Radiology

Diagnostic Ultrasound

Neuroradiology

Nuclear Radiology

Pediatric Radiology

Vascular & Interventional Radiology

NPI Profile & details for HATTIESBURG CLINIC PA

Reviews for HATTIESBURG CLINIC PA