NPI 1871674754

Hattiesburg Clinic PA

Organisation Sports Medicine (Preventive Medicine) Physician Hattiesburg, MS

Practice location

Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: (601) 579-5406
Fax: (601) 268-5756

Authorised official

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

Registered specialties

Sports Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X

Other Preventive Medicine providers in Mississippi →

Registry record

NPI: 1871674754
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 23 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.