Organization
SINGING RIVER HEALTH SYSTEM
Active
Other names
The Center for Cardiovascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HOLLAND (CEO)
(228) 497-7908
Entity
Organization
Contact information
Practice address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7964
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019059
BLUE CROSS OF MISSISSIPPI
MS
05
—
09014182
—
MS
Enumeration date
10/15/2007
Last updated
09/26/2014
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