Organization
HATTIESBURG CLINIC, PA
Active
Other names
Coordinated Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON MD (CEO)
(601) 264-6000
Entity
Organization
Contact information
Practice address
4209 LINCOLN RD, HATTIESBURG, MS 39402-3065
(601) 705-2896
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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