Organization
THE SURGICAL CLINIC
Active
Other names
Adkins Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ROSS ADKINS (OWNER)
(228) 861-6049
Entity
Organization
Contact information
Practice address
11516 LAMEY BRIDGE RD STE I, DIBERVILLE, MS 39540-2725
(228) 207-4190
(228) 207-4156
Mailing address
2533 MERCEDES DR, BILOXI, MS 39531-2813
(228) 388-3020
(228) 392-9035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012155
—
MS
Enumeration date
01/24/2008
Last updated
09/24/2018
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