DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC; NPI #1598879009

Contact Information

DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC

1000 TURTLE CREEK DR STE 4
HATTIESBURG, MS 39402-1173

Phone: 601-268-5189
Fax: 601-268-5006
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC

NPI Number 1598879009

LBN Legal business name DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC

Authorized official STEPHEN BUCKLEY - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/19/2006

Last updated 01/23/2023 - About 3 years ago

Identifiers

MS	Medicaid	02358833
MS	Other	P00138452	RAILROAD MEDICARE

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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