NPI 1427417724

Hattiesburg Clinic, PA

Organisation Dermatology Physician Hattiesburg, MS

Practice location

Address: 3 Thompson Park, Hattiesburg, MS 39401-8202
Phone: (601) 579-3130
Fax: (601) 544-3688
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

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Mississippi →

Registry record

NPI: 1427417724
Entity type: Organization
NPI issued: 15 Feb 2016
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.