Organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M BURCKEL (CEO)
(601) 554-7499
Entity
Organization
Contact information
Practice address
3688 VETERANS MEMORIAL DRIVE, SUITE 200, HATTIESBURG, MS 39401
(601) 554-7400
(601) 554-7499
Mailing address
3688 VETERANS MEMORIAL DRIVE, SUITE 200, HATTIESBURG, MS 39401
(601) 554-7400
(601) 554-7499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015183
—
MS
Enumeration date
07/23/2006
Last updated
08/21/2012
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