NPI 1588220008

Hattiesburg Clinic, PA

Organisation Allergy & Immunology Physician Picayune, MS

Practice location

Address: 1837 Cooper Rd., Picayune, MS 39466-5576
Phone: (769) 717-5005
Fax: (601) 749-0249
Mailing address: 415 S 28th Ave, Hattiesburg, MS 39401-7246

Authorised official

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

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Mississippi →

Registry record

NPI: 1588220008
Entity type: Organization
NPI issued: 10 May 2019
Record last updated: 27 Nov 2023

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.