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Organization
SUN COAST ANESTHESIA PA
Active
Organization
SUN COAST ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESLEY D MALLETT MD (PRESIDENT)
(228) 328-2093
Entity
Organization
Contact information
Practice address
1720B MEDICAL PARK DR, BILOXI, MS 39532-2131
(228) 702-2000
Mailing address
PO BOX 6639, DIBERVILLE, MS 39540-6639
(228) 328-2093
(228) 328-2079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
03/19/2015
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