Organization
HATTIESBURG CLINIC, PA
Active
Other names
Allergy, Asthma and Immunology -Flowood
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR STE 100, FLOWOOD, MS 39232-9531
(601) 264-6000
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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