Organization
HATTIESBURG CLINIC PA
Active
Other names
Ophthalmology - Laurel
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN N BATSON (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
321 S 11TH AVE, LAUREL, MS 39440-4316
(601) 649-2341
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05336300
—
MS
Enumeration date
10/06/2006
Last updated
02/23/2021
Update your record
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