Organization
SPINAL & NEUROLOGICAL SURGERY OF SOUTH MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY L MONDAY CMM CMPE (ADMINISTRATOR)
(601) 579-4453
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, STE 300, GULFPORT, MS 39503
(228) 831-2229
(228) 831-9991
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404
(601) 579-4453
(601) 579-4460
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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