NPI 1770672768
Hattiesburg Clinic PA
Practice location
- Address
- 421 S 28th Ave Suite 310, Hattiesburg, MS 39401-7206
- Phone
- (601) 579-5261
- Fax
- (601) 579-5257
- 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 (2)
Anatomic Pathology & Clinical Pathology Physician
Primary
Dermatopathology (Pathology) Physician
Registry record
- NPI
- 1770672768
- Entity type
- Organization
- NPI issued
- 11 Oct 2006
- 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.