NPI 1003905076

Hattiesburg Clinic PA

Organisation Otolaryngology Physician Hattiesburg, MS

Practice location

Address: 1605 S 28th Ave, Hattiesburg, MS 39402-3110
Phone: (601) 264-5684
Fax: (601) 264-0231
Mailing address: 415 S 28th Ave, Hattiesburg, MS 39401-7246

Authorised official

Name: Bryan N Batson
Title: Executive Director
Phone: (601) 268-5601

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Mississippi →

Registry record

NPI: 1003905076
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 7 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.