# HATTIESBURG CLINIC PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ophthalmology - Laurel
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972690287
- **Authorized official:** DR. BRYAN N BATSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 264-6000

## Contact information

- **Practice address:** 321 S 11TH AVE, LAUREL, MS 39440-4316
- **Practice address phone:** (601) 649-2341
- **Mailing address:** 415 S 28TH AVE, HATTIESBURG, MS 39401-7246
- **Mailing address phone:** (601) 579-5463
- **Mailing address fax:** (601) 579-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 02/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05336300 | — | MS |