# SOUTHERNCARE ANESTHETICS LLC

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

## Provider details

- **NPI number:** 1043908015
- **Authorized official:** JORY SCOTT (OWNER)
- **Authorized official phone:** (601) 582-6069

## Contact information

- **Practice address:** 4 WILLOW PT STE 1B, HATTIESBURG, MS 39402-1150
- **Practice address phone:** (601) 582-6069
- **Mailing address:** 4 WILLOW PT STE 50, HATTIESBURG, MS 39402-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2023
- **Last updated:** 04/27/2023