OrganizationActive
Hattiesburg Clinic, PA
NPI 1902617632 · Podiatrist · Columbia, MS
Provider details
- NPI number
- 1902617632
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Bryan Batson, Chief Executive Officer(601) 264-6000
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
502 Broad St Ste 2
Columbia, MS 39429-3037
Phone: (601) 736-8282
Fax: (601) 736-8333
Approximate (ZIP-level) locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Other names (DBA / former)
- Doing business as
- Podiatry - Columbia
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.