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Organization
SOUTH MISSISSIPPI UROLOGY PLLC
Active
Organization
SOUTH MISSISSIPPI UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S LYELL M.D. (OWNER)
(228) 769-2069
Entity
Organization
Contact information
Practice address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 769-2069
(228) 769-0406
Mailing address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 769-2069
(228) 769-0406
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
04/29/2013
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