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Contact Information

HATTIESBURG CLINIC PA
101 MEDICAL PARK
HATTIESBURG, MS39401
 Phone: 601-579-3000
 Fax: 601-579-5240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HATTIESBURG CLINIC PA

NPI Number 1497837801
LBN Legal business name HATTIESBURG CLINIC PA
Authorized official BRYAN BATSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 02/18/2021 - About 5 years ago
Identifiers
MS Medicaid 09014653
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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