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HATTIESBURG CLINIC PA NPI 1730276098


NPI Information

NPI: 1730276098
Provider Name: HATTIESBURG CLINIC PA

Doing Business As: THE CHILDREN'S CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4210 LINCOLN RD
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-3500
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HATTIESBURG CLINIC PA is a pediatrics in Hattiesburg, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HATTIESBURG CLINIC PA NPI is 1730276098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Children's Clinic.

The provider's business location address is:

4210 LINCOLN RD
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-3500
Fax: (601) 261-3583

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 10/6/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109016070MEDICAIDMISSISSIPPI

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: 4/28/2024

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