Mellen, Philip Batson

Mellen, Philip Batson is an individual health care provider with primary practice located at 1101 S 28Th Ave Ste B , Hattiesburg MS 39402-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hypertension Specialist, which is considered as his primary health care specialty. Mellen, Philip Batson can be contacted via phone (601) 296-2990.

Contact Information

Primary practice address
1101 S 28Th Ave Ste B Hattiesburg MS 39402-2610
Phone: (601) 296-2990
Fax: (601) 296-2860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 19823 Mississippi

Profile Details

NPI number 1730108358
LBN Legal business name Mellen, Philip Batson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 2nd, 2021 - about 3 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 1730108358 NPPES
Mississippi Other 7214746 AETNA
Mississippi MEDICAID 07384751 AETNA

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