HATTIESBURG CLINIC PA NPI 1912600354

NPI Information

NPI: 1912600354
Provider Name: HATTIESBURG CLINIC, PA

Doing Business As: FLOWOOD PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
294 E LAYFAIR DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 579-5463
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HATTIESBURG CLINIC, PA is a primary care clinic center in Flowood, MS. HATTIESBURG CLINIC, PA NPI is 1912600354. The provider is registered as an organization entity type.
The provider Is Doing Business As Flowood Primary Care.

The provider's business location address is:

294 E LAYFAIR DR
FLOWOOD, MS
ZIP 39232-526
Phone: (601) 579-5463

The provider's authorized official is Bryan N Batson .
The authorized official title is Ceo and has the following contact phone number (601) 264-6000.

The CLIA number assigned to this NPI record is 25D2274611 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/24/2023 and was last updated on 5/11/2023.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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