NPI 1609469899

Hattiesburg Clinic, PA

Organisation Podiatrist Hattiesburg, MS

Practice location

Address: 908 W Pine St, Hattiesburg, MS 39401-4262
Phone: (601) 579-3022
Fax: (601) 543-0472
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

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1609469899
Entity type: Organization
NPI issued: 18 Feb 2021
Record last updated: 2 Mar 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.