Organization
SOUTHERN MISSISSIPPI NEONATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON B WHITE M.D. (PRESIDENT)
(601) 288-3440
Entity
Organization
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-3440
(601) 288-3451
Mailing address
1108 OAKLEIGH DR, HATTIESBURG, MS 39402-3068
(601) 288-3440
(601) 288-3451
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013736
—
MS
Enumeration date
03/01/2007
Last updated
08/22/2020
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