Organization
SOUTHERN SURGERY WOUND CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DUNCAN DONALD M. D. (MANAGING MEMBER)
(601) 450-2417
Entity
Organization
Contact information
Practice address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2434
Mailing address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06083556
—
MS
Enumeration date
07/26/2007
Last updated
10/24/2011
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