Hattiesburg Clinic, PA

NPI #1902617632 in Columbia, Mississippi

Provider Information

NPI Number: 1902617632
Entity Type: Organization
Organization Name: Hattiesburg Clinic, PA
Primary Specialty: Podiatrist
Enumeration Date: Jan 14, 2025
Last Updated: Jan 16, 2025

Practice Location

Address: 502 BROAD ST STE 2
City: Columbia
State: Mississippi
ZIP Code: 39429-3037
Phone: (601) 736-8282

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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