# THE BEACH SURGICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043437684
- **Authorized official:** DR. BRIAN T ANTHONY MD (OWNER)
- **Authorized official phone:** (228) 467-1386

## Contact information

- **Practice address:** 952 GREEN MEADOW RD., BAY ST LOUIS, MS 39520
- **Practice address phone:** (228) 467-1386
- **Practice address fax:** (228) 467-1770
- **Mailing address:** PO BOX 2548, BAY ST LOUIS, MS 39521-2548
- **Mailing address phone:** (228) 467-1386
- **Mailing address fax:** (228) 467-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 14843 | MS | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 07/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1356349401 | DR'S NPI \# | — |
| 05 | — | 9015599 | — | MS |