OrganizationActive
Hattiesburg Clinic PA
NPI 1093736795 · Ambulatory Surgical Clinic/Center · Hattiesburg, MS
Provider details
- NPI number
- 1093736795
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Bryan Batson, Executive Director
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 579-5075
Fax: (601) 579-5039
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.