Hattiesburg Clinic PA

NPI #1104910322 in Taylorsville, Mississippi

Provider Information

NPI Number: 1104910322
Entity Type: Organization
Organization Name: Hattiesburg Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 3, 2006
Last Updated: Oct 7, 2020

Practice Location

Address: 300 PINE ST
City: Taylorsville
State: Mississippi
ZIP Code: 39168-5432
Phone: (601) 785-6911

Authorized Official

Name: DR. BRYAN N BATSON, MD
Title: EXECUTIVE DIRECTOR
Phone: (601) 268-5601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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