Organization · Type 2 NPI

Hattiesburg Clinic PA

Family Medicine Physician · Hattiesburg, MS

NPI number 1265872782 Active

Practice location

5192 Old Highway 11, Suite 2
Hattiesburg, MS 39402-6222

Call (601) 268-0929 Map

Fax (601) 261-0508

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.

4 other providers at this address

Other family medicine physician providers in Hattiesburg

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NPI record

NPI: 1265872782
Entity type: Organization (Type 2)
Issued: Jun 28, 2013
Last updated: Feb 18, 2021
Status: Active

Other names

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Oak Grove Family Clinic · doing business as
Oak Grove Family Clinic · doing business as

Authorized official

Bryan N Batson, MD
Executive Director
(601) 264-6000

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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 1265872782

Hattiesburg Clinic PA's National Provider Identifier is 1265872782, issued on Jun 28, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 18, 2021.