| Hattiesburg Clinic Pa | |
|
101 Weems St Purvis MS 39475-4062 | |
| (601) 794-2224 | |
| (601) 794-6392 |
| Full Name | Hattiesburg Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Weems St, Purvis, 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 101 Weems St Purvis MS 39475-4062 Ph: (601) 794-2224 |
| NPI Number | 1124115498 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124115498 | NPI | - | NPPES |
| 01982768 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 School Street, Purvis, MS 39475 Phone: 601-794-6221 Fax: 601-796-9437 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 Martin Luther King Dr, Purvis, MS 39475 Phone: 601-545-3700 Fax: 601-450-0231 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Mitchell Ave, Purvis, MS 39475 Phone: 601-794-2959 Fax: 601-796-9437 | |
Pearl River County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Highway 589, Purvis, MS 39475 Phone: 601-242-3030 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 School St, Purvis, MS 39475 Phone: 601-794-1068 Fax: 601-796-9437 |