Organization
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Active
Parent organization
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Other names
Golden Triangle Heart & Vascular
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Authorized official
DONALD R POUNDS (CFO SENIOR VICE PRESIDENT)
(901) 227-7463
Entity
Organization
Contact information
Practice address
255 BAPTIST BLVD, SUITE 305, COLUMBUS, MS 39705-2011
(662) 244-2288
(662) 244-2289
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 227-7463
(901) 227-5699
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07325029
—
MS
Enumeration date
09/15/2006
Last updated
07/16/2010
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