Organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Active
Parent organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN BONE & JOINT SPECIALISTS, PA
Authorized official
MR. DAVID M BURCKEL (CEO)
(601) 554-7449
Entity
Organization
Contact information
Practice address
128 HIGHLAND PKWY, SUITE 100, PICAYUNE, MS 39466-5577
(601) 554-7400
(601) 554-7499
Mailing address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015183
—
MS
Enumeration date
03/15/2013
Last updated
03/15/2013
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