Organization
SOUTHERN NIGHTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLIAMS (LAB MANAGER)
(601) 271-2204
Entity
Organization
Contact information
Practice address
1092 ACADIAN DR STE 2, GULFPORT, MS 39507-3565
(228) 897-2955
(228) 897-2956
Mailing address
1092 ACADIAN DR STE 2, GULFPORT, MS 39507-3565
(228) 897-2955
(228) 897-2956
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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