Organization
SOUTHERNCARE ANESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORY SCOTT (OWNER)
(601) 582-6069
Entity
Organization
Contact information
Practice address
4 WILLOW PT STE 1B, HATTIESBURG, MS 39402-1150
(601) 582-6069
Mailing address
4 WILLOW PT STE 50, HATTIESBURG, MS 39402-1150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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