Hattiesburg Clinic PA

NPI #1417046574 in Heidelberg, Mississippi

Provider Information

NPI Number: 1417046574
Entity Type: Organization
Organization Name: Hattiesburg Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 12, 2006
Last Updated: Feb 18, 2021

Practice Location

Address: 2013 NORTH PINE
City: Heidelberg
State: Mississippi
ZIP Code: 39439
Phone: (601) 787-2337

Authorized Official

Name: BRYAN N BATSON
Title: EXECUTIVE DIRECTOR
Phone: (601) 264-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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