Organization · Type 2 NPI

Hattiesburg Clinic PA

Family Medicine Physician · Hattiesburg, MS

NPI number 1205924263 Active

Practice location

5909 U S Highway 49
Hattiesburg, MS 39402-2860

Call (601) 296-2800 Map

Fax (601) 296-2802

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

Other family medicine physician providers in Hattiesburg

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NPI record

NPI: 1205924263
Entity type: Organization (Type 2)
Issued: Oct 11, 2006
Last updated: Oct 7, 2020
Status: Active

Other names

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Immediate Care Cloverleaf · doing business as
Immediate Care Cloverleaf · doing business as

Authorized official

Dr. Bryan N Batson, MD
Executive Director
(601) 268-5601

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205924263

Hattiesburg Clinic PA's National Provider Identifier is 1205924263, issued on Oct 11, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 7, 2020.