# THE PEDIATRIC NEUROLOGY CLINIC OF HATTIESBURG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699921197
- **Authorized official:** MS. STEPHANIE ROBINETT M.D. (OWNER)
- **Authorized official phone:** (601) 296-3050

## Contact information

- **Practice address:** 5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
- **Practice address phone:** (601) 296-3050
- **Practice address fax:** (601) 296-3060
- **Mailing address:** 5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
- **Mailing address phone:** (601) 296-3050
- **Mailing address fax:** (601) 296-3060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2008
- **Last updated:** 08/15/2008