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Organization

COAST SURGICAL SPECIALTY

Active
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Organization

COAST SURGICAL SPECIALTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLIVIA CAMPBELL (REGISTERED NURSE FIRST ASSISTANT)
(228) 342-1634
Entity
Organization

Contact information

Practice address
296 BEAUVOIR RD STE 100-273, BILOXI, MS 39531-4051
(228) 342-1634
Mailing address
296 BEAUVOIR RD STE 100-273, BILOXI, MS 39531-4051
(228) 342-1634

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WR0006X
Registered Nurse First Assistant
Primary

Other

Enumeration date
10/04/2018
Last updated
10/07/2018
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