# SOUTH MISSISSIPPI EMERGENCY PHYSICIANS,PA

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

## Provider details

- **NPI number:** 1356531594
- **Authorized official:** JOHN NELSON M.D. (PRESIDENT)
- **Authorized official phone:** (601) 288-2010

## Contact information

- **Practice address:** 4891 HIGHWAY 589, SUMRALL, MS 39482-4453
- **Practice address phone:** (601) 758-4606
- **Practice address fax:** (601) 758-4615
- **Mailing address:** PO BOX 635614, CINCINNATI, OH 45263-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 01/22/2021