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Organization
HATTIESBURG CLINIC PA
Active
Organization
HATTIESBURG CLINIC PA
Active
Other names
Pain Management Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
1 LINCOLN PKWY STE 300, HATTIESBURG, MS 39402-3261
(601) 261-1600
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
07/19/2021
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