Individual
DONNIS KLINE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 HOSPITAL ST, PASCAGOULA, MS 39581-4112
(228) 762-3664
(228) 769-7015
Mailing address
6300 E LAKE BLVD, SUITE 301, VANCLEAVE, MS 39565-6770
(228) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19197
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00983228
—
MS
Enumeration date
07/12/2006
Last updated
03/22/2017
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