Individual
DR. SALOUM CISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 S OAK, SUITE 2, RAYMOND, MS 39154-4205
(601) 526-0790
(601) 526-0795
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 526-0795
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
18216
MS
208M00000X
Hospitalist Physician
18216
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04036718
—
MS
Enumeration date
06/24/2006
Last updated
11/21/2023
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