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HATTIESBURG CLINIC PA NPI 1679053979


NPI Information

NPI: 1679053979
Provider Name: HATTIESBURG CLINIC, PA

Doing Business As: SOUTH 28TH AVENUE FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
SOUTH 28TH AVENUE FAMILY MEDICINE
1101 SOUTH 28TH AVENUE, SUITE C
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-1670
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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 1679053979. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South 28th Avenue Family Medicine.

The provider's business location address is:

SOUTH 28TH AVENUE FAMILY MEDICINE
1101 SOUTH 28TH AVENUE, SUITE C
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-1670
Fax: (601) 579-5240

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 8/16/2018 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
1207Q00000XFamily MedicineYes

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: 11/14/2023

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