NPI 1730459835

Hattiesburg Clinic, PA

Organisation Dermatology Physician Meridian, MS

Practice location

Address: 2321 13th St, Meridian, MS 39301-3940
Phone: (601) 484-5836
Fax: (601) 428-8443
Mailing address: 6 Medical Blvd, Hattiesburg, MS 39401-7230

Authorised official

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

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 15101 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1730459835
Entity type: Organization
NPI issued: 5 Jan 2012
Record last updated: 22 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.