| Hattiesburg Clinic Pa | |
|
215 Bobby Beasley St Seminary MS 39479-5501 | |
| (601) 722-4300 | |
| (601) 722-9092 |
| Full Name | Hattiesburg Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Bobby Beasley St, Seminary, 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) 579-5463 | Hattiesburg Clinic Pa 215 Bobby Beasley St Seminary MS 39479-5501 Ph: (601) 722-4300 |
| NPI Number | 1124128434 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124128434 | NPI | - | NPPES |
| 09015848 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Covington County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Main St, Seminary, MS 39479 Phone: 601-722-3610 Fax: 601-722-9985 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main Street, Seminary, MS 39479 Phone: 601-545-8700 Fax: 601-450-2493 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main St, Seminary, MS 39479 Phone: 601-545-8700 Fax: 601-450-2493 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Highway 535, Seminary, MS 39479 Phone: 601-722-3208 Fax: 601-722-3304 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main Street, Seminary, MS 39479 Phone: 601-545-8700 Fax: 601-450-2493 |