Organization · Type 2 NPI

Hattiesburg Clinic PA

Family Medicine Physician · Hattiesburg, MS

NPI number 1366539678 Active

Practice location

104 Millsaps Dr
Hattiesburg, MS 39402-1328

Call (601) 288-7500 Map

Fax (601) 268-5179

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Rheumatology Physician	207RR0500X	None listed
Obstetrics & Gynecology Physician	207V00000X	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.

7 other providers at this address

Other family medicine physician providers in Hattiesburg

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NPI record

NPI: 1366539678
Entity type: Organization (Type 2)
Issued: Oct 6, 2006
Last updated: Feb 18, 2021
Status: Active

Other names

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Hattiesburg Clinic West · doing business as
Hattiesburg Clinic West · doing business as

Authorized official

Bryan N Batson
Executive Director
(601) 264-6000

Verify this record

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 1366539678

Hattiesburg Clinic PA's National Provider Identifier is 1366539678, issued on Oct 6, 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 Feb 18, 2021.