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Organization

SOUTHERN BONE & JOINT SPECIALISTS, PA

Active
Parent organization
SOUTHERN BONE & JOINT SPECIALISTS, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN BONE & JOINT SPECIALISTS, PA
Authorized official
STEPHANIE STEWART MCCRARY (CEO)
(601) 554-7400
Entity
Organization

Contact information

Practice address
1706 W 10TH ST, LAUREL, MS 39440-2557
(601) 554-7400
(601) 554-7499
Mailing address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(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
09015183
MS
Enumeration date
05/02/2013
Last updated
03/18/2025
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