Sports Medicine

LBN: Hattiesburg Clinic Pa
Sports Medicine is an health care organization with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Hattiesburg Clinic Pa can be contacted via phone (601) 579-5406, or through Batson, Bryan N via phone (601) 264-6000.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 579-5406
Fax: (601) 268-5756
Website:
Map and Directions
Authorized official contact:
Name: Batson, Bryan N
Phone: (601) 264-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X

Profile Details

NPI number 1871674754
LBN Legal business name Hattiesburg Clinic Pa
DBA Doing business as Sports Medicine
Authorized official Batson, Bryan N
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Feb 23rd, 2021 - about 4 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 1871674754 NPPES
Mississippi MEDICAID 06389072

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