Hattiesburg Clinic, PA

NPI #1720821861 in Petal, Mississippi

Provider Information

NPI Number: 1720821861
Entity Type: Organization
Organization Name: Hattiesburg Clinic, PA
Primary Specialty: Dermatology
Enumeration Date: Jun 17, 2024
Last Updated: Jun 17, 2024

Practice Location

Address: 50 PARKWAY LN STE 250
City: Petal
State: Mississippi
ZIP Code: 39465-3035
Phone: (601) 544-0769

Authorized Official

Name: BRYAN N BATSON, MD
Title: EXECUTIVE DIRECTOR
Phone: (601) 268-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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