Organization
HATTIESBURG CLINIC PA
Active
Other names
Infectious Diseases
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5445
(601) 579-5210
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5444
(601) 579-5390
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02937275
—
MS
Enumeration date
10/18/2006
Last updated
02/22/2021
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