HATTIESBURG CLINIC, PA is an end-stage renal disease (esrd) treatment clinic center in Hattiesburg, MS. HATTIESBURG CLINIC, PA NPI is 1720011026. The provider is registered as an organization entity type.
The provider Is Doing Business As Hattiesburg Dialysis Unit.
The provider's business location address is:
5909 U S HIGHWAY 49 STE 10
HATTIESBURG, MS
ZIP 39402-860
Phone: (601) 296-2960
Fax: (601) 296-2961
The provider's authorized official is Bryan N Batson .
The authorized official title is Executive Director and has the following contact phone number (601) 264-6000.
The CLIA number assigned to this NPI record is 25D0651920 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/9/2006 and was last updated on 2/22/2021.