NPI 1265593156

Hattiesburg Clinic PA

Organisation Family Medicine Physician Picayune, MS

Practice location

Address: 128 Highland Pkwy Suite 200, Picayune, MS 39466-5577
Phone: (601) 358-9630
Fax: (601) 358-9640
Mailing address: 415 S 28th Ave, Hattiesburg, MS 39401-7246

Authorised official

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

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1265593156
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 18 Feb 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.