Organization
HATTIESBURG CLINIC PA
Active
Other names
The Dermatology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
146 HIGHLAND PKWY, SUITE B, PICAYUNE, MS 39466-5575
(601) 358-9972
(601) 358-9558
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 358-9972
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
02/18/2021
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