NPI 1013599661

Hattiesburg Clinic, PA

Organisation Clinic/Center Hattiesburg, MS

Practice location

Address: 4209 Lincoln Rd, Hattiesburg, MS 39402-3065
Phone: (601) 705-2896
Fax: (601) 579-5240
Mailing address: 415 S 28th Ave, Hattiesburg, MS 39401-7246

Authorised official

Name: Bryan N Batson
Title: Ceo
Phone: (601) 264-6000

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1013599661
Entity type: Organization
NPI issued: 23 Apr 2021
Record last updated: 23 Apr 2021

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.