Organization
HATTIESBURG CLINIC, PA
Active
Other names
Podiatry - Pine Street
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) 579-3022
(601) 543-0472
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3022
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
03/02/2021
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