Organization
SURGICAL SPECIALISTS OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BALDER MD (ADMINISTRATOR)
(985) 234-3000
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, STE 210, GULFPORT, MS 39503-3485
(985) 234-3000
Mailing address
15190 COMMUNITY RD, STE 210, GULFPORT, MS 39503-3485
(985) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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