| Hattiesburg Clinic, Pa | |
|
6941 Highway 11 N Suite A Carriere MS 39426-7793 | |
| (601) 749-3776 | |
| Not Available |
| Full Name | Hattiesburg Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6941 Highway 11 N, Carriere, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hattiesburg Clinic, Pa 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Hattiesburg Clinic, Pa 6941 Highway 11 N Suite A Carriere MS 39426-7793 Ph: (601) 749-3776 |
| NPI Number | 1356781082 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356781082 | NPI | - | NPPES |
| 03833301 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Picayune Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Golf Course Dr, Carriere, MS 39426 Phone: 601-699-9846 | |
Kids Klinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 | |
Ahmad Abdali Haidar Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Golf Course Dr., Carriere, MS 39426 Phone: 601-699-9846 Fax: 601-799-0052 | |
Forrest County General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 Fax: 601-799-0052 |