Organization
FGH TRAUMA SURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN HESTER (CFO)
(601) 288-4225
Entity
Organization
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-2690
Mailing address
PO BOX 16745, HATTIESBURG, MS 39404-6745
(601) 288-2690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05102728
—
MS
Enumeration date
06/12/2006
Last updated
09/12/2017
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