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Organization
HATTIESBURG CLINIC PA
Active
Organization
HATTIESBURG CLINIC PA
Active
Other names
Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 268-5601
Entity
Organization
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5700
(601) 268-5777
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5700
(601) 268-5777
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016110
—
MS
Enumeration date
10/19/2006
Last updated
10/07/2020
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