Organization
HATTIESBURG CLINIC PA
Active
Other names
Hattiesburg Clinic Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 268-5601
Entity
Organization
Contact information
Practice address
6 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 264-8433
(601) 264-8800
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-8433
(601) 264-8800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506274
—
MS
Enumeration date
10/06/2006
Last updated
10/07/2020
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