Organization · Type 2 NPI

Hattiesburg Clinic, PA

Family Medicine Physician · Petal, MS

NPI number 1497162234 Active

Practice location

50 Parkway Ln
Petal, MS 39465-3035

Call (601) 705-2897 Map

Fax (601) 584-6457

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.

7 other providers at this address

Other family medicine physician providers in Petal

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NPI record

NPI: 1497162234
Entity type: Organization (Type 2)
Issued: Jul 14, 2014
Last updated: Feb 18, 2021
Status: Active

Other names

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Immediate Care- Petal · doing business as
Immediate Care- Petal · 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 1497162234

Hattiesburg Clinic, PA's National Provider Identifier is 1497162234, issued on Jul 14, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Petal, MS. The record was last updated on Feb 18, 2021.