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Organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Active
Organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Active
Parent organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN BONE & JOINT SPECIALISTS, PA
Authorized official
MR. DAVID M BURCKEL (CEO)
(601) 554-7449
Entity
Organization
Contact information
Practice address
1215 HIGHWAY 98 BYP, COLUMBIA, MS 39429-3702
(601) 554-7400
(601) 554-7488
Mailing address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015183
—
MS
Enumeration date
08/06/2012
Last updated
08/06/2012
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