Organization
HOGAN SURGICAL CENTER PA
Active
Other names
Southern Vision Surgery Center, Souhern Vision Surgery Center Gulfport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIPER C NELSON MD (OWNER)
(228) 896-1120
Entity
Organization
Contact information
Practice address
351 COWAN RD, GULFPORT, MS 39507-2019
(228) 896-1120
(228) 896-1332
Mailing address
351 COWAN RD, GULFPORT, MS 39507-2019
(228) 896-1120
(228) 896-1332
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25C0001038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770572
—
MS
Enumeration date
05/31/2005
Last updated
02/20/2025
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