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NPI 1114014479

OrganizationActive

Hattiesburg Clinic PA

NPI 1114014479 · Dermatology Physician · Hattiesburg, MS

Provider details

NPI number: 1114014479
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Bryan Batson, Executive Director

Practice location

6 Medical Blvd

Hattiesburg, MS 39401-7230

Phone: (601) 264-8433

Fax: (601) 264-8800

More MS providers

Mailing address

415 S 28th Ave

Hattiesburg, MS 39401-7246

Registry dates

Enumerated: 2006-10-06
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.

Hattiesburg Clinic PA — NPI 1114014479, Hattiesburg, MS | NPI Central