Hattiesburg Clinic, PA

NPI #1598146136 in Sumrall, Mississippi

Provider Information

NPI Number: 1598146136
Entity Type: Organization
Organization Name: Hattiesburg Clinic, PA
Primary Specialty: Physical Therapist
Enumeration Date: Jun 9, 2015
Last Updated: Feb 18, 2021

Practice Location

Address: 1240 HIGHWAY 42
City: Sumrall
State: Mississippi
ZIP Code: 39482
Phone: (601) 579-5463

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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