Organization
HATTIESBURG CLINIC, PA
Active
Other names
Functional and Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
2 SOUTHERN POINT PKWY STE 200, HATTIESBURG, MS 39401-8025
(601) 261-1690
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2021
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