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

Hattiesburg Clinic PA

Organization Obstetrics & Gynecology Physician · NPI 1720431166

Hattiesburg Clinic PA is an Obstetrics & Gynecology Physician in Hattiesburg, Mississippi. Registered with an NPI since 2016.

In the registry since
2016
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

6813 Hwy 98 W
Hattiesburg, MS 39402
Phone: (601) 268-5640
Fax: (601) 261-1561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1720431166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 264-6000
Other names Lake Serene; Lake Serene
NPI enumeratedJuly 21, 2016
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

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