# HATTIESBURG CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Radiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265502652
- **Authorized official:** DR. BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 268-5601

## Contact information

- **Practice address:** 415 S 28TH AVE, HATTIESBURG, MS 39401-7246
- **Practice address phone:** (601) 268-5707
- **Practice address fax:** (601) 268-5813
- **Mailing address:** 415 S 28TH AVE, HATTIESBURG, MS 39401-7246
- **Mailing address phone:** (601) 526-4600
- **Mailing address fax:** (601) 268-5813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 10/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00503777 | — | MS |