Organization
HATTIESBURG CLINIC, PA
Active
Other names
Meridian Dermatology
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
2321 13TH ST, MERIDIAN, MS 39301-3940
(601) 484-5836
(601) 428-8443
Mailing address
6 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 264-8433
(601) 264-8800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15101
MS
Other
Enumeration date
01/05/2012
Last updated
02/22/2021
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