HATTIESBURG CLINIC PA NPI 1588945273

NPI Information

HATTIESBURG CLINIC, PA is a family medicine in Hattiesburg, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HATTIESBURG CLINIC, PA NPI is 1588945273. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lincoln Road Family Medicine.

The provider's business location address is:

4209 LINCOLN ROAD
HATTIESBURG, MS
ZIP 39402
Phone: (601) 579-5400
Fax: (601) 261-3521

The provider's authorized official is Bryan N Batson .
The authorized official title is Executive Director and has the following contact phone number (601) 264-6000.

The CLIA number assigned to this NPI record is 25D0713726 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/8/2011 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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