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Hattiesburg Clinic, PA

Organization Active NPI Dermatology Physician · Meridian, MS

NPI 1730459835 · NPPES record last updated Feb 22, 2021

Key facts

NPI
1730459835
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
License
15101 (MS)
Legal business name
HATTIESBURG CLINIC, PA
Practice address
2321 13TH St
Meridian, MS 39301-3940
Phone
(601) 484-5836
Fax
(601) 428-8443
NPI assigned
Jan 5, 2012
Organization subpart
No

Authorized official

Name
Dr. Bryan N Batson, MD
Title
Executive Director
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.

National Provider Directory

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

Locations

6 Medical Blvd
Hattiesburg, MS 39401
Phone (601) 264-8433

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207N00000X 15101 MS Yes

Addresses

Primary practice location

2321 13TH St
Meridian, MS 39301-3940

Mailing address

6 Medical Blvd
Hattiesburg, MS 39401-7230
Phone (601) 264-8433

Other names

  • Meridian Dermatology Doing business as

Other providers in Meridian, MS

All providers in Meridian, MS · Dermatology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.