| Hattiesburg Clinic Pa | |
|
300 Pine St Taylorsville MS 39168-5432 | |
| (601) 785-6911 | |
| (601) 785-6988 |
| Full Name | Hattiesburg Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Pine St, Taylorsville, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012685601 |
| 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) 579-5488 | Hattiesburg Clinic Pa 300 Pine St Taylorsville MS 39168-5432 Ph: (601) 785-6911 |
| NPI Number | 1104910322 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104910322 | NPI | - | NPPES |
| 09014991 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 W Magnolia Ln, Taylorsville, MS 39168 Phone: 601-825-7280 Fax: 601-825-8130 | |
Covington County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Eaton St, Taylorsville, MS 39168 Phone: 601-765-6711 Fax: 601-698-0112 | |
Jfmc Taylorsville, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Pine St, Taylorsville, MS 39168 Phone: 601-478-5020 Fax: 601-785-0205 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 South County Road, 10 B, Taylorsville, MS 39168 Phone: 601-825-7280 Fax: 601-825-8130 | |
John R. Harper,md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Eaton Street, Taylorsville, MS 39168 Phone: 601-785-6786 Fax: 601-785-7929 | |
Magee Benevolent Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Eaton Street, Taylorsville, MS 39168 Phone: 601-785-6786 Fax: 601-785-7929 |