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

Hattiesburg Clinic, PA

Organization Physical Medicine & Rehabilitation Physician · NPI 1407470990

Hattiesburg Clinic, PA is a Physical Medicine & Rehabilitation Physician in Hattiesburg, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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

103 Medical Park
Hattiesburg, MS 39401-9042
Phone: (601) 268-5757
Fax: (601) 579-5220
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1407470990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Ceo · (601) 264-6000
Other names Hattiesburg Clinic Tatum Park; Tatum Park Orthopedics And Sports Medicine
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

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