Hattiesburg Clinic PA
NPI #1215023122 in Prentiss, Mississippi
Provider Information
- NPI Number
- 1215023122
- Entity Type
- Organization
- Organization Name
- Hattiesburg Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Oct 7, 2020
Practice Location
- Address
- 1014 ROSE STREET
- City
- Prentiss
- State
- Mississippi
- ZIP Code
- 39474
- Phone
- (601) 792-2071
Authorized Official
- Name
- DR. BRYAN N BATSON, MD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 268-5601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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