Organization
SOUTH MISSISSIPPI WOUND MANAGEMENT LLC
Active
Other names
South Mississippi Wound Management
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J MARTIN PA (MANAGER)
(601) 757-6192
Entity
Organization
Contact information
Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 835-9444
(601) 833-5210
Mailing address
1600 N STATE ST STE 400, JACKSON, MS 39202-1689
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/14/2021
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