NPI 1114089208

Hattiesburg Clinic PA

Organisation Dermatology Physician Laurel, MS

Practice location

Address: 1420 Jefferson St, Laurel, MS 39440-4243
Phone: (601) 428-8428
Fax: (601) 428-8443
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

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Mississippi →

Registry record

NPI: 1114089208
Entity type: Organization
NPI issued: 14 Dec 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.