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Organization
HATTIESBURG CLINIC PA
Active
Organization
HATTIESBURG CLINIC PA
Active
Other names
Immediate Care - Laurel
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
2313 HIGHWAY 15 N, LAUREL, MS 39440-1805
(601) 649-2775
(601) 649-2686
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
10/03/2024
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