Hattiesburg Clinic Pa Valid NPI
Organization · Family Medicine Physician · Petal, MS
- NPI
- 1649356767
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- Enumerated
- 2006-10-31
- Last updated
- 2021-02-18
Practice location
15 Pumping Station Rd
Petal, MS 39465-8325
(601) 583-1559