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Organization

HATTIESBURG CLINIC, PA

Active
Other names
Pine Street Family 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
908 W PINE ST, HATTIESBURG, MS 39401-4262
(601) 268-5850
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7283
(601) 268-5850
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/30/2022
Last updated
08/30/2022
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