Organization
THE BEACH SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN T ANTHONY MD (OWNER)
(228) 467-1386
Entity
Organization
Contact information
Practice address
952 GREEN MEADOW RD., BAY ST LOUIS, MS 39520
(228) 467-1386
(228) 467-1770
Mailing address
PO BOX 2548, BAY ST LOUIS, MS 39521-2548
(228) 467-1386
(228) 467-1770
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14843
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356349401
DR'S NPI #
—
05
—
9015599
—
MS
Enumeration date
04/18/2007
Last updated
07/28/2012
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