Hattiesburg Clinic Pa

Specialty details in registry · Hattiesburg, MS

Call (601) 264-5684 Directions

At a glance

1605 S 28Th Ave, Hattiesburg, MS 39402-3110

NPPES record updated Oct 7, 2020. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1605 S 28Th Ave
Hattiesburg, MS 39402-3110
Professional details: NPI, taxonomy & registry record
NPI1003905076
Call Directions

Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207Y00000X
Enumeration date
Oct 11, 2006
Record updated
Oct 7, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

207Y00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1605 S 28Th Ave
Hattiesburg, MS 39402-3110
Phone
(601) 264-5684
Fax
(601) 264-0231
Mailing address
415 S 28TH AVE

HATTIESBURG, MS 394017246
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue