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Contact Information

HATTIESBURG CLINIC PA
104 MILLSAPS DR
HATTIESBURG, MS39402-1328
 Phone: 601-288-7500
 Fax: 601-268-5179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HATTIESBURG CLINIC PA

NPI # 1366539678
LBN Legal business name HATTIESBURG CLINIC PA
Authorized official BRYAN BATSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 02/18/2021 - About 5 years ago
Identifiers
MS Medicaid 02071733
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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