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 1720821861

Hattiesburg Clinic, PA is a Dermatology Physician in Petal, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
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

50 Parkway Ln Ste 250
Petal, MS 39465-3035
Phone: (601) 544-0769
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 number1720821861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 268-6000
Other names Dermatology-Petal
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

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