Hattiesburg Clinic PA
NPI #1265593156 in Picayune, Mississippi
Provider Information
- NPI Number
- 1265593156
- Entity Type
- Organization
- Organization Name
- Hattiesburg Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 128 HIGHLAND PKWY
- Address 2
- SUITE 200
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-5577
- Phone
- (601) 358-9630
Authorized Official
- Name
- BRYAN N BATSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 264-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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