Lincoln Road Family Medicine

LBN: Hattiesburg Clinic, Pa
Lincoln Road Family Medicine is an health care organization with primary practice located at 4209 Lincoln Road , Hattiesburg MS 39402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Hattiesburg Clinic, Pa can be contacted via phone (601) 579-5400, or through Batson, Bryan N via phone (601) 264-6000.

Contact Information

Primary practice address
4209 Lincoln Road Hattiesburg MS 39402
Phone: (601) 579-5400
Fax: (601) 261-3521
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 / Family Medicine 207Q00000X 11345 Mississippi

Profile Details

NPI number 1588945273
LBN Legal business name Hattiesburg Clinic, Pa
DBA Doing business as Lincoln Road Family Medicine
Authorized official Batson, Bryan N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2011
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 1588945273 NPPES
Mississippi MEDICAID 09014185

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