NPI 1396556445 · live from the CMS NPI Registry
Hattiesburg Clinic, PA
Internal Medicine, Gastroenterology in Columbia, MS. National Provider Identifier 1396556445, active.
NPI record
| NPI | 1396556445 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 502 Broad St Ste 3, Columbia, MS 39429 |
| Practice phone | 601-736-8282 |
| Mailing address | 415 S 28th Ave, Hattiesburg, MS 39401 |
| Enumerated | January 17, 2025 |
| Last updated | January 17, 2025 |
| Authorized official | Bryan Batson, Ceo |
| Other names | Gastroenterology - Columbia |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.