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Organization
SINGING RIVER HEALTH SYSTEM
Active
Organization
SINGING RIVER HEALTH SYSTEM
Active
Other names
The Center for Cardiovascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HOLLAND (CEO)
(228) 497-7908
Entity
Organization
Contact information
Practice address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7964
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019059
BLUE CROSS OF MISSISSIPPI
MS
05
—
09014182
—
MS
Enumeration date
10/15/2007
Last updated
09/26/2014
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