Hattiesburg Clinic PA

NPI #1962599282 in Petal, Mississippi

Provider Information

NPI Number: 1962599282
Entity Type: Organization
Organization Name: Hattiesburg Clinic PA
Primary Specialty: Physical Therapist
Enumeration Date: Oct 6, 2006
Last Updated: Feb 23, 2021

Practice Location

Address: 206 CORINTH RD
City: Petal
State: Mississippi
ZIP Code: 39465-2883
Phone: (601) 583-9464

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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