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Organization

HATTIESBURG CLINIC PA

Active
Other names
Connections
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
102 MEDICAL PARK, HATTIESBURG, MS 39401-9080
(601) 261-5159
(601) 545-1740
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5488
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09673755
MS
Enumeration date
10/11/2006
Last updated
05/28/2025
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