Hattiesburg Clinic PA

Organization Sports Medicine (Preventive Medicine) Physician · NPI 1871674754

Hattiesburg Clinic PA provides Sports Medicine (Preventive Medicine) Physician services in Hattiesburg, Mississippi. Registered with an NPI since 2006.

In the registry since: 2006

What do these letters mean?

PA — Professional association: A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 579-5406
Fax: (601) 268-5756

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Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary)	Taxonomy 2083S0010X

Record details

NPI number	1871674754
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Bryan Batson — Executive Director · (601) 264-6000
Other names	Sports Medicine; Sports Medicine
NPI enumerated	October 18, 2006
Last updated in NPPES	February 23, 2021
Certification date	February 23, 2021
Mailing address	415 S 28th Ave, Hattiesburg, MS 39401-7246