# VEIN INSTITUTE OF SOUTH MISSISSIPPI PLLC

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

## Provider details

- **NPI number:** 1548928443
- **Authorized official:** JOHN KEITH THOMPSON DO (OWNER)
- **Authorized official phone:** (601) 467-5340

## Contact information

- **Practice address:** 6169 U S HIGHWAY 98, HATTIESBURG, MS 39402-8631
- **Practice address phone:** (601) 335-8368
- **Mailing address:** 6169 U S HIGHWAY 98, HATTIESBURG, MS 39402-8631
- **Mailing address phone:** (601) 335-8368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19031 | MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE | MS |
| 01 | — | 800456806 | DRIVERS LICENSE - MISSISSIPPI MOTOR VEHICLE COMMISSION | MS |