Southern Bone & Joint Specialists, PA
Orthopaedic Surgery in Columbia, MS. Organization (NPI-2).
NPI number1487901807
StatusActive
Last updated in NPPESAug 6, 2012
Details
- NPI
- 1487901807
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Bone & Joint Specialists, PA
- Organization subpart
- Yes
- Enumeration date
- Aug 6, 2012
- Last updated
- Aug 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
1215 Highway 98 BypColumbia, MS 39429-3702
Phone 601-554-7400 · Fax 601-554-7488
Mailing address
3688 Veterans Memorial DrSuite 200
Hattiesburg, MS 39401-8246
Phone 601-554-7400 · Fax 601-554-7488
Authorized official
David M Burckel
Ceo
6015547449
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