Hattiesburg Clinic, PA

NPI #1689830549 in Poplarville, Mississippi

Provider Information

NPI Number: 1689830549
Entity Type: Organization
Organization Name: Hattiesburg Clinic, PA
Primary Specialty: Physical Therapist
Enumeration Date: Jul 31, 2008
Last Updated: Feb 22, 2021

Practice Location

Address: 1403 S MAIN ST STE E
City: Poplarville
State: Mississippi
ZIP Code: 39470-3394
Phone: (601) 795-6618

Authorized Official

Name: DR. 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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