OrganizationActive
Hattiesburg Clinic PA
NPI 1871674754 · Sports Medicine (Preventive Medicine) Physician · Hattiesburg, MS
Provider details
- NPI number
- 1871674754
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Batson, Executive Director(601) 264-6000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 579-5406
Fax: (601) 268-5756
Approximate (ZIP-level) locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Other names (DBA / former)
- Doing business as
- Sports Medicine
- Doing business as
- Sports Medicine
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.