Hattiesburg Clinic, Pa Valid NPI
Organization · Family Medicine Physician · Petal, MS
- NPI
- 1497162234
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- Enumerated
- 2014-07-14
- Last updated
- 2021-02-18
Practice location
50 Parkway Ln
Petal, MS 39465-3035
(601) 705-2897