Organization
BRADLEY C SAMS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY CARNELL SAMS MD (OWNER)
(228) 818-0416
Entity
Organization
Contact information
Practice address
1001 N HALSTEAD RD, OCEAN SPRINGS, MS 39564-3121
(228) 861-8658
Mailing address
1001 N HALSTEAD RD, OCEAN SPRINGS, MS 39564-3121
(228) 861-8658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16666
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121469
—
MS
Enumeration date
07/01/2014
Last updated
07/01/2014
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