Tah-Clayton, Bridget Y
Tah-Clayton, Bridget Y is an individual health care provider with primary practice located at 701 South 28Th Avenue Suite D, Hattiesburg MS 39401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tah-Clayton, Bridget Y can be contacted via phone (601) 579-3025.Contact Information
Primary practice address
701 South 28Th Avenue Suite D
Hattiesburg MS 39401
Phone: (601) 579-3025
Fax: (601) 264-0727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16941 | Mississippi |
Profile Details
| NPI number | 1700877537 |
|---|---|
| LBN Legal business name | Tah-Clayton, Bridget Y |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Apr 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700877537 | NPPES |
| Mississippi | Other | P00445048 | RAILROAD MEDICARE |
| Mississippi | MEDICAID | 00122708 | RAILROAD MEDICARE |
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