NPI | 1801310768 |
---|---|
Doing Business As | HATTIESBURG CLINIC NEPHROLOGY VASCULAR ACCESS CENTER |
Entity Type | Organization |
Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-08-01 |
Last Update Date | 2021-02-22 |