Hattiesburg Clinic PA
NPI #1457451775 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1457451775
- Entity Type
- Organization
- Organization Name
- Hattiesburg Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 822 MAIN ST
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-2425
- Phone
- (601) 477-2014
Authorized Official
- Name
- BRYAN N BATSON, MD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 264-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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