Organization
BIENVILLE ORTHOPAEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WAYNE ROLLINS (MANNAGER)
(228) 546-3254
Entity
Organization
Contact information
Practice address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532-2127
(228) 546-3254
(228) 396-2507
Mailing address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532-2127
(228) 546-3254
(228) 396-2507
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
19613
MS
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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