| Infectious Diseases | |
|
415 S 28th Ave Hattiesburg MS 39401-7246 | |
| (601) 579-5445 | |
| (601) 579-5210 |
| Full Name | Infectious Diseases |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| 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 |
|---|---|
| Infectious Diseases 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5444 | Infectious Diseases 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5445 |
| NPI Number | 1760563670 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760563670 | NPI | - | NPPES |
| 02937275 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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