Organization
HATTIESBURG CLINIC PA
Active
Other names
Dermatology Clinic of Laurel
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
1420 JEFFERSON ST, LAUREL, MS 39440-4243
(601) 428-8428
(601) 428-8443
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 428-8428
(601) 428-8443
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
10/07/2020
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