Organization
HATTIESBURG CLINIC PA
Active
Other names
Downtown Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
511 W LAUREL AVE, HATTIESBURG, MS 39401-3504
(501) 544-1261
(601) 583-9993
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 544-1261
(601) 583-9993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05478571
—
MS
Enumeration date
10/11/2006
Last updated
02/18/2021
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