Hattiesburg Clinic PA

NPI #1124128434 in Seminary, Mississippi

Provider Information

NPI Number: 1124128434
Entity Type: Organization
Organization Name: Hattiesburg Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: Sep 25, 2006
Last Updated: Oct 7, 2020

Practice Location

Address: 215 BOBBY BEASLEY ST
City: Seminary
State: Mississippi
ZIP Code: 39479-5501
Phone: (601) 722-4300

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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