Organization
NEUROSURGERY OF HATTIESBURG, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY BERNARDO MD (PRESIDENT)
(601) 268-8535
Entity
Organization
Contact information
Practice address
5003 HARDY ST, STE 401, HATTIESBURG, MS 39402-1319
(601) 268-8535
(601) 268-8541
Mailing address
5003 HARDY ST, STE 401, HATTIESBURG, MS 39402-1319
(601) 268-8535
(601) 268-8541
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13446
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014874
—
MS
Enumeration date
09/21/2006
Last updated
08/22/2020
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