Hattiesburg Clinic, PA
Hattiesburg Clinic, PA is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hattiesburg, Mississippi. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6855 Lincoln Road Ext Ste 60Hattiesburg, MS 39402-3271
Phone: (601) 296-2960
Fax: (601) 296-2961
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1740637230 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Batson — Executive Director · (601) 264-6000 |
| Other names | West Hattiesburg Clinic Dialysis; West Hattiesburg Clinic Dialysis |
| NPI enumerated | May 16, 2016 |
| Last updated in NPPES | February 22, 2021 |
| Certification date | February 22, 2021 |
| Mailing address | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
Other providers in Hattiesburg
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Hattiesburg Clinic, PA
5909 U S Highway 49 Ste 10, Hattiesburg, MS 39402-2860 · (601) 296-2960