Organization
HATTIESBURG CLINIC PA
Active
Other names
Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
5909 U S HIGHWAY 49, SUITE 30, HATTIESBURG, MS 39402-2860
(601) 296-2780
(601) 296-2781
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2780
(601) 296-2781
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02325276
—
MS
Enumeration date
10/05/2006
Last updated
02/18/2021
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