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Organization
HATTIESBURG CLINIC, PA
Active
Organization
HATTIESBURG CLINIC, PA
Active
Other names
Sumrall Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
1240 HIGHWAY 42, SUMRALL, MS 39482
(601) 579-5463
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
02/18/2021
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