Organization
SOUTH COAST PATHOLOGY SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK CAUSEY MD (PRESIDENT)
(228) 575-2327
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-2327
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 678-1861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07456747
—
MS
Enumeration date
08/31/2006
Last updated
02/11/2014
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