Organization
HATTIESBURG CLINIC, PA
Active
Organization
HATTIESBURG CLINIC, PA
Active
Other names
Hattiesburg Clinic Nephrology Vascular Access Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
5909 HWY 49 S, SUITE 14, HATTIESBURG, MS 39402-2860
(601) 296-2960
(601) 296-2961
Mailing address
5909 HWY 49 S, SUITE 10, HATTIESBURG, MS 39402-2860
(601) 296-2960
(601) 296-2961
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
04/07/2026
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