NPI 1497836308 · live from the CMS NPI Registry
Hattiesburg Clinic PA
Internal Medicine, Gastroenterology in Hattiesburg, MS. National Provider Identifier 1497836308, active.
NPI record
| NPI | 1497836308 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 415 S 28th Ave, Hattiesburg, MS 39401 |
| Practice phone | 601-268-5680 |
| Enumerated | October 18, 2006 |
| Last updated | February 18, 2021 |
| Authorized official | Bryan Batson, Executive Director |
| Other names | Gastroenterology |
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.