Hattiesburg Clinic, Pa is a health care provider in Hattiesburg, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||128 Courthouse Sq, Monticello, MS 39654-6014, US|
|Practice Location Phone||601-587-0209|
|Practice Location Fax||601-587-0436|
|Legal Business Name||HATTIESBURG CLINIC, PA|
|Other Organization Name||MONTICELLO FAMILY MEDICINE|
|Other Organization Name Type||An Other Name|
|Enumeration Date ?||Mar 6, 2017|
|Last Update Date ?||Mar 6, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Hattiesburg Clinic, Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Tommy Thornton|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||601-264-6000|