Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hattiesburg Clinic PA

Organization Dermatology Physician · NPI 1114089208

Hattiesburg Clinic PA is a Dermatology Physician in Laurel, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1420 Jefferson St
Laurel, MS 39440-4243
Phone: (601) 428-8428
Fax: (601) 428-8443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1114089208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 268-5601
Other names Dermatology Clinic Of Laurel; Dermatology Clinic Of Laurel
NPI enumeratedDecember 14, 2006
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

Other providers in Laurel