Organization
HATTIESBURG CLINIC PA
Active
Other names
Hattiesburg Clinic Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
710 S 28TH AVE, SUITE D, HATTIESBURG, MS 39402-2585
(601) 579-3025
(601) 264-0727
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5444
(601) 579-5107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06554097
—
MS
Enumeration date
02/28/2007
Last updated
02/18/2021
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