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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 Aug 23rd, 2016 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700877537 NPPES
Mississippi MEDICAID 00122708
Mississippi Other P00445048

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