Neurology | |
415 S 28th Ave Hattiesburg MS 39401-7246 | |
(601) 268-5620 | |
(601) 268-5851 |
Full Name | Neurology |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 415 S 28th Ave, Hattiesburg, Mississippi |
Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6012646000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neurology 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 268-5620 | Neurology 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 268-5620 |
NPI Number | 1528157518 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 02/18/2021 |
Certification Date | 02/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528157518 | NPI | - | NPPES |
04520249 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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Merit Health Wesley Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 Fax: 601-268-5008 | |
Will's Way, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Adeline St, Suite B, Hattiesburg, MS 39401 Phone: 601-466-9190 Fax: 186-662-5055 | |
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