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HATTIESBURG CLINIC PA NPI 1801310768


NPI Information

NPI: 1801310768
Provider Name: HATTIESBURG CLINIC, PA

Doing Business As: HATTIESBURG CLINIC NEPHROLOGY VASCULAR ACCESS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5909 HWY 49 S
SUITE 14
HATTIESBURG, MS
ZIP 39402
Phone: (601) 296-2960
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HATTIESBURG CLINIC, PA is an end-stage renal disease (esrd) treatment clinic center in Hattiesburg, MS. HATTIESBURG CLINIC, PA NPI is 1801310768. The provider is registered as an organization entity type.
The provider Is Doing Business As Hattiesburg Clinic Nephrology Vascular Access Center.

The provider's business location address is:

5909 HWY 49 S
SUITE 14
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 enumeration date for this NPI number is 8/1/2017 and was last updated on 2/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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