# HATTIESBURG CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lincoln Road Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588945273
- **Authorized official:** BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 264-6000

## Contact information

- **Practice address:** 4209 LINCOLN ROAD, HATTIESBURG, MS 39402
- **Practice address phone:** (601) 579-5400
- **Practice address fax:** (601) 261-3521
- **Mailing address:** 4209 LINCOLN ROAD FAMILY MEDICINE, HATTIESBURG, MS 39402
- **Mailing address phone:** (601) 579-5400
- **Mailing address fax:** (601) 261-3521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11345 | MS | Yes |

## Other

- **Enumeration date:** 09/08/2011
- **Last updated:** 02/18/2021