Organization
SOUTH MISSISSIPPI NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS C LANIER JR. M.D. (MANAGING MEMBER)
(228) 863-7393
Entity
Organization
Contact information
Practice address
4405 E ALOHA DR STE I, DIAMONDHEAD, MS 39525-3380
(228) 863-7393
(228) 864-0546
Mailing address
4300B W RAILROAD ST, GULFPORT, MS 39501
(228) 863-7393
(228) 864-0546
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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