Organization
THE PEDIATRIC NEUROLOGY CLINIC OF HATTIESBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE ROBINETT M.D. (OWNER)
(601) 296-3050
Entity
Organization
Contact information
Practice address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 296-3050
(601) 296-3060
Mailing address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 296-3050
(601) 296-3060
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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