Organization
JOSEPH SALLOUM, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY FUNK (BILLING ADMINISTRATOR)
(877) 434-2035
Entity
Organization
Contact information
Practice address
301 S 28TH AVE, HATTIESBURG, MS 39401-7233
(601) 288-1701
(601) 288-1715
Mailing address
PO BOX 15158, HATTIESBURG, MS 39404-5158
(601) 288-1701
(601) 288-1715
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11850
MS
Other
Enumeration date
04/15/2013
Last updated
10/28/2020
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