Hattiesburg Clinic PA

NPI #1720188907 in Poplarville, Mississippi

Provider Information

NPI Number: 1720188907
Entity Type: Organization
Organization Name: Hattiesburg Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: Sep 25, 2006
Last Updated: Feb 22, 2021

Practice Location

Address: 1407 S MAIN ST
City: Poplarville
State: Mississippi
ZIP Code: 39470-3369
Phone: (601) 795-0659

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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