Organization · Type 2 NPI

Hattiesburg Clinic, PA

Family Medicine Physician · Hattiesburg, MS

NPI number 1578283776 Active

Practice location

908 W Pine St
Hattiesburg, MS 39401-4262

Call (601) 268-5850 Map

Fax (601) 579-5240

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7283

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.

3 other providers at this address

Other family medicine physician providers in Hattiesburg

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NPI record

NPI: 1578283776
Entity type: Organization (Type 2)
Issued: Aug 30, 2022
Last updated: Aug 30, 2022
Status: Active

Other names

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Pine Street Family Medicine · doing business as
Pine Street Family Medicine · 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 1578283776

Hattiesburg Clinic, PA's National Provider Identifier is 1578283776, issued on Aug 30, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 30, 2022.