HATTIESBURG CLINIC PA NPI 1265502652

NPI Information

HATTIESBURG CLINIC PA is a body imaging radiology in Hattiesburg, MS. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. HATTIESBURG CLINIC PA NPI is 1265502652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Radiology.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 268-5707
Fax: (601) 268-5813

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 11/9/2006 and was last updated on 10/7/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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