NPI:
1124181334
Provider Name:
HATTIESBURG CLINIC PA
Doing Business As: THE BREAST CENTER
Classification:
Clinic/Center - 261QR0206X
Entity Type:
Organization
Specialization: Radiology, Mammography
Address:
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone:
(601) 268-5744
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HATTIESBURG CLINIC PA is a radiology and mammography clinic center in Hattiesburg, MS. HATTIESBURG CLINIC PA NPI is 1124181334. The provider is registered as an organization entity type.
The provider Is Doing Business As The Breast Center.
The provider's business location address is:
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 268-5744
Fax: (601) 268-5868
The provider's authorized official is Bryan N Batson .
The authorized official title is Executive Director and has the following contact phone number (601) 268-5601.
The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/7/2020.