Hattiesburg Clinic Internal Medicine

LBN: Hattiesburg Clinic Pa
Hattiesburg Clinic Internal Medicine is an health care organization with primary practice located at 710 S 28Th Ave Suite D, Hattiesburg MS 39402-2585. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Hattiesburg Clinic Pa can be contacted via phone (601) 579-3025, or through Batson, Bryan N via phone (601) 264-6000.

Contact Information

Primary practice address
710 S 28Th Ave Suite D Hattiesburg MS 39402-2585
Phone: (601) 579-3025
Fax: (601) 264-0727
Website:
Map and Directions
Authorized official contact:
Name: Batson, Bryan N Doctor of Medicine (MD)
Phone: (601) 264-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1376670869
LBN Legal business name Hattiesburg Clinic Pa
DBA Doing business as Hattiesburg Clinic Internal Medicine
Authorized official Batson, Bryan N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 18th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376670869 NPPES
Mississippi MEDICAID 06554097

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