Organization
HATTIESBURG CLINIC PA
Active
Other names
Heart Care Center, The
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
404 S 13TH AVE, LAUREL, MS 39440-4345
(601) 425-5544
(601) 425-5525
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 425-5544
(601) 425-5525
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014350
—
MS
Enumeration date
10/11/2006
Last updated
02/22/2021
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