Hattiesburg Clinic PA
NPI #1093736795 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1093736795
- Entity Type
- Organization
- Organization Name
- Hattiesburg Clinic PA
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Oct 7, 2020
Practice Location
- Address
- 415 S 28TH AVE
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-7246
- Phone
- (601) 579-5075
Authorized Official
- Name
- DR. BRYAN N BATSON, MD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 268-5601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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