Individual
GEORGE THOMAS SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720A MEDICAL PARK DR, SUITE 220, BILOXI, MS 39532-2129
(228) 392-9355
(228) 392-1781
Mailing address
6300 E LAKE BLVD, SUITE 301, VANCLEAVE, MS 39565-6770
(228) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15531
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124267
—
MS
Enumeration date
07/21/2006
Last updated
03/22/2017
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