# HATTIESBURG CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** William Carey University Student Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477373918
- **Authorized official:** BRYAN N BATSON MD (CEO)
- **Authorized official phone:** (601) 264-6000

## Contact information

- **Practice address:** 710 WILLIAM CAREY PKWY, HATTIESBURG, MS 39401-7842
- **Practice address phone:** (601) 318-6736
- **Practice address fax:** (601) 579-3083
- **Mailing address:** 415 S 28TH AVE, HATTIESBURG, MS 39401-7246
- **Mailing address phone:** (601) 264-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2024
- **Last updated:** 10/10/2024