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Hattiesburg Clinic PA — NPI 1114089208, Laurel, MS | NPI Central

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NPI 1114089208

OrganizationActive

Hattiesburg Clinic PA

NPI 1114089208 · Dermatology Physician · Laurel, MS

Provider details

NPI number: 1114089208
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Bryan Batson, Executive Director(601) 268-5601

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians

Practice location

1420 Jefferson St

Laurel, MS 39440-4243

Phone: (601) 428-8428

Fax: (601) 428-8443

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

415 S 28th Ave

Hattiesburg, MS 39401-7246

Other names (DBA / former)

Doing business as: Dermatology Clinic of Laurel
Doing business as: Dermatology Clinic of Laurel

Registry dates

Enumerated: 2006-12-14
Last updated: 2020-10-07
Certified: 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.