| NPI | 1265461719 |
|---|---|
| Doing Business As | HATTIESBURG FAMILY HEALTH CENTER - DOWNTOWN |
| Entity Type | Organization |
| Authorized Contact | GEROLDEAN DYSE CEO 601-545-8700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-03-21 |