Organization
HATTIESBURG CLINIC, PA
Active
Other names
Poplarville Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN N BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
1403 S MAIN ST STE E, POPLARVILLE, MS 39470-3394
(601) 795-6618
(601) 795-6669
Mailing address
415 SOUTH 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
02/22/2021
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