# HATTIESBURG CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hattiesburg Clinic Tatum Park, Tatum Park Orthopedics and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407470990
- **Authorized official:** BRYAN BATSON MD (CEO)
- **Authorized official phone:** (601) 264-6000

## Contact information

- **Practice address:** 103 MEDICAL PARK, HATTIESBURG, MS 39401-9042
- **Practice address phone:** (601) 268-5757
- **Practice address fax:** (601) 579-5220
- **Mailing address:** 415 S 28TH AVE, HATTIESBURG, MS 39401-7246
- **Mailing address phone:** (601) 264-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 06/29/2026