Organization
HATTIESBURG NEONATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. ALAN BRINSON M.D. (PRESIDENT)
(601) 268-5221
Entity
Organization
Contact information
Practice address
5003 HARDY ST, SUITE 302, HATTIESBURG, MS 39402-1319
(601) 268-5221
Mailing address
5003 HARDY ST, SUITE 302, HATTIESBURG, MS 39402-1319
(601) 268-5221
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
001004101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114976
—
MS
05
—
01982035
—
MS
01
—
1891743928
R. ALAN BRINSON, MD - NPI
MS
Enumeration date
02/07/2007
Last updated
10/28/2011
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