Organization
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NELSON DO (MEDICAL DIRECTOR)
(601) 288-7000
Entity
Organization
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-2010
(601) 288-2193
Mailing address
PO BOX 635614, CINCINNATI, OH 45263-5614
(601) 288-2010
(601) 288-2193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016106
—
MS
01
—
CK4284
RRGA
MS
Enumeration date
06/21/2006
Last updated
06/23/2008
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