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Hattiesburg Clinic, PA

Organization Active NPI Nephrology Physician · Hattiesburg, MS

NPI 1295532497 · NPPES record last updated Feb 26, 2025

Key facts

NPI
1295532497
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
HATTIESBURG CLINIC, PA
Practice address
5909 U S Highway 49 Ste 20
Hattiesburg, MS 39402-2860
Phone
(601) 268-5700
Fax
(601) 268-5777
NPI assigned
Feb 26, 2025
Organization subpart
No

Authorized official

Name
Bryan N Batson, MD
Title
Ceo
Phone
(601) 264-6000

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Hattiesburg Clinic PA (136 organizations share this tax ID)

Locations

5909 U S Highway 49
Ste 20
Hattiesburg, MS 39402
Phone (601) 261-1533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RN0300X Yes

Addresses

Primary practice location

5909 U S Highway 49 Ste 20
Hattiesburg, MS 39402-2860

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Other names

  • Nephrology - Cloverleaf Doing business as

Other providers in Hattiesburg, MS

All providers in Hattiesburg, MS · Nephrology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.