1821021155 HATTIESBURG CLINIC, PA

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Active

Basic Information

Organization Name
HATTIESBURG CLINIC, PA
Enumeration Date
July 9, 2006
Last Update
February 22, 2021
Authorized Official
DR. BRYAN N BATSON
EXECUTIVE DIRECTOR
Phone: (601) 264-6000

Practice Location

Address
4820 PLAZA DR
TYLERTOWN, MS 396679221
Phone
(601) 222-0311
Fax
(601) 222-0351

Mailing Address

Address
415 S 28TH AVE
HATTIESBURG, MS 394017246
Phone
(601) 222-0311
Fax
(601) 222-0351

Specialties & Taxonomies

Specialty Code Classification License State Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
 261QE0700X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
5000477 01 MS UNITED HEALTHCARE
00220570 05 MS N/A
000050656 01 MS BLUE CROSS BLUE SHIELD MS

Frequently Asked Questions

What is HATTIESBURG CLINIC, PA's NPI number?
HATTIESBURG CLINIC, PA's NPI number is 1821021155.
Which doctor has NPI number 1821021155?
The doctor with NPI number 1821021155 is HATTIESBURG CLINIC, PA.
What is HATTIESBURG CLINIC, PA's practice address?
HATTIESBURG CLINIC, PA's practice address is 4820 PLAZA DR, TYLERTOWN, MS, 396679221.
Which doctor practices at 4820 PLAZA DR, TYLERTOWN, MS, 396679221?
HATTIESBURG CLINIC, PA practices at 4820 PLAZA DR, TYLERTOWN, MS, 396679221.
What is HATTIESBURG CLINIC, PA's mailing address?
HATTIESBURG CLINIC, PA's mailing address is 415 S 28TH AVE, HATTIESBURG, MS, 394017246.
What is HATTIESBURG CLINIC, PA's phone number?
HATTIESBURG CLINIC, PA's phone number is (601) 222-0311.
Who is (601) 222-0311?
(601) 222-0311 is the phone number for HATTIESBURG CLINIC, PA.
What is HATTIESBURG CLINIC, PA's specialty?
HATTIESBURG CLINIC, PA's specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is HATTIESBURG CLINIC, PA?
HATTIESBURG CLINIC, PA is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is HATTIESBURG CLINIC, PA a End-Stage Renal Disease (ESRD) Treatment?
Yes, HATTIESBURG CLINIC, PA is a End-Stage Renal Disease (ESRD) Treatment.
Is HATTIESBURG CLINIC, PA still practicing?
Yes, HATTIESBURG CLINIC, PA is currently practicing.
Is HATTIESBURG CLINIC, PA accepting new patients?
HATTIESBURG CLINIC, PA may be accepting new patients. Please call their office at (601) 222-0311 to inquire about availability.
Is NPI 1821021155 still active?
Yes, NPI 1821021155 is currently active.
Where does HATTIESBURG CLINIC, PA practice?
HATTIESBURG CLINIC, PA practices in TYLERTOWN, MS.