Organization
BROOKHAVEN SURGERY CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VANCE CARNER M.D. (PRESIDENT)
(601) 835-1182
Entity
Organization
Contact information
Practice address
1036 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-1182
(601) 835-1546
Mailing address
1036 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-1182
(601) 835-1546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013622
—
MS
01
—
CM2256
RAILROAD MEDICARE
MS
Enumeration date
10/05/2006
Last updated
05/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us