| Hattiesburg Clinic, Pa | |
|
1403 S Main St Ste E, Poplarville, MS 39470-3394 | |
| (601) 795-6618 | |
| (601) 795-6669 |
| Full Name | Hattiesburg Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1403 S Main St Ste E, Poplarville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689830549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hattiesburg Clinic, Pa 415 South 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463 | Hattiesburg Clinic, Pa 1403 S Main St Ste E, Poplarville, MS 39470-3394 Ph: (601) 795-6618 |
Shannon Mcintosh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102 | |
Ryan Blackburn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W North St, Poplarville, MS 39470 Phone: 601-795-2130 | |
Christian Avery Nance, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Main St, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102 | |
Kaci L Morris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102 | |
Ms. Brittney Roberts Tynes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W North St, Poplarville, MS 39470 Phone: 601-795-2130 Fax: 601-795-2164 | |
Mr. Marcus Houston, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-365-9868 |