Mmo of Hattiesburg, LLC
NPI #1629022017 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1629022017
- Entity Type
- Organization
- Organization Name
- Mmo of Hattiesburg, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 20, 2006
- Last Updated
- Jul 2, 2010
Practice Location
- Address
- 990 HARDY ST
- Address 2
- SUITE 4
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-4161
- Phone
- (601) 602-0194
Authorized Official
- Name
- MR. ROBERT L. MILLER
- Title
- CEO
- Phone
- (225) 293-6774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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