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Contact Information

HATTIESBURG CLINIC, PA
421 S 28TH AVE
SUITE 120
HATTIESBURG, MS39401-7206
 Phone: 601-579-5100
 Fax: 601-579-3211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for HATTIESBURG CLINIC, PA

NPI # 1811302995
LBN Legal business name HATTIESBURG CLINIC, PA
Authorized official BRYAN BATSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2014
Last updated 02/22/2021 - About 5 years ago
Identifiers n/a
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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