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Organization
SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Active
Organization
SOUTH MISSISSIPPI NEPHROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS C LANIER JR. M.D. (MANAGING MEMBER)
(228) 863-7393
Entity
Organization
Contact information
Practice address
784 VIEUX MARCHE, BILOXI, MS 39530
(228) 374-7525
(228) 864-0546
Mailing address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7393
(228) 864-0546
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/11/2007
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