HATTIESBURG CLINIC PA NPI 1205924263

NPI Information

HATTIESBURG CLINIC PA is a family medicine in Hattiesburg, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HATTIESBURG CLINIC PA NPI is 1205924263. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Immediate Care Cloverleaf.

The provider's business location address is:

5909 U S HIGHWAY 49
HATTIESBURG, MS
ZIP 39402-860
Phone: (601) 296-2800
Fax: (601) 296-2802

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 10/11/2006 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

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