HATTIESBURG CLINIC PA NPI 1740213446

NPI Information

  • NPI: 1740213446
  • Provider Name: HATTIESBURG CLINIC PA
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 415 S 28TH AVE
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 579-5488

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NPI Details

HATTIESBURG CLINIC PA is a multi-specialty clinic center in Hattiesburg, MS. HATTIESBURG CLINIC PA NPI is 1740213446. The provider is registered as an organization entity type.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 579-5488
Fax: (601) 579-5240

The provider's authorized official is Bryan N Batson .
The authorized official title is Executive Director and has the following contact phone number (601) 268-5601.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 10/7/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109014185MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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