NPIMap

Hattiesburg Clinic, PA

Organization Active NPI Family Medicine Physician · Richton, MS

NPI 1386213957 · NPPES record last updated Nov 14, 2022

Key facts

NPI
1386213957
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
HATTIESBURG CLINIC, PA
Practice address
201A Bay Ave
Richton, MS 39476-9671
Phone
(601) 583-1559
Fax
(601) 583-1573
NPI assigned
Jun 18, 2021
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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Leah Burch Rock, MD Family Medicine Physician · Richton, MS · NPI 1215434261
    NPD FAMILY MEDICINE

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

201A Bay Ave
Richton, MS 39476-9671

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 579-5463

Other names

  • Richton Family Medicine Doing business as

Other providers in Richton, MS

All providers in Richton, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.