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Organization
HOGAN SURGICAL CENTER PA
Active
Organization
HOGAN SURGICAL CENTER PA
Active
Other names
Southern Vision Surgery Center, Souhern Vision Surgery Center Gulfport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIPER C NELSON MD (OWNER)
(228) 896-1120
Entity
Organization
Contact information
Practice address
351 COWAN RD, GULFPORT, MS 39507-2019
(228) 896-1120
(228) 896-1332
Mailing address
351 COWAN RD, GULFPORT, MS 39507-2019
(228) 896-1120
(228) 896-1332
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25C0001038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770572
—
MS
Enumeration date
05/31/2005
Last updated
02/20/2025
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