Hattiesburg Clinic PA
Clinic/Center, Sleep Disorder Diagnostic in Hattiesburg, MS. Organization (NPI-2).
NPI number1831251925
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1831251925
- Entity type
- Organization (NPI-2)
- Legal business name
- Hattiesburg Clinic PA
- Organization subpart
- No
- Enumeration date
- Dec 14, 2006
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Other names
- The Center For Sleep Medicine (Doing Business As)
Practice location
101 Courtenay CirHattiesburg, MS 39402-3153
Phone 601-579-5180 · Fax 601-268-5851
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-579-5463 · Fax 601-579-5240
Authorized official
Byran N Batson
Executive Director
6012646000
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