Plastic & Reconstructive Surgery

LBN: Hattiesburg Clinic Pa
Plastic & Reconstructive Surgery is an health care organization with primary practice located at 421 S 28Th Ave Suite 110, Hattiesburg MS 39401-7206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Hattiesburg Clinic Pa can be contacted via phone (601) 261-3690, or through Batson, Bryan N via phone (601) 264-6000.

Contact Information

Primary practice address
421 S 28Th Ave Suite 110 Hattiesburg MS 39401-7206
Phone: (601) 261-3690
Fax: (601) 261-3684
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 / Plastic Surgery 208200000X

Profile Details

NPI number 1720177728
LBN Legal business name Hattiesburg Clinic Pa
DBA Doing business as Plastic & Reconstructive Surgery
Authorized official Batson, Bryan N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 22nd, 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 1720177728 NPPES
Mississippi MEDICAID 07202723

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