Individual
BRIDGET Y TAH-CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 SOUTH 28TH AVENUE, SUITE D, HATTIESBURG, MS 39401
(601) 579-3025
(601) 264-0727
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3025
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16941
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122708
—
MS
01
—
P00445048
RAILROAD MEDICARE
MS
Enumeration date
11/01/2005
Last updated
04/14/2025
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