Organization
ORTHOPEDIC CLINIC OF SOUTHWEST MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVID SINCLAIR (DIRECTOR)
(601) 249-2701
Entity
Organization
Contact information
Practice address
300 RAWLS DR, SUITE 400, MCCOMB, MS 39648-2877
(601) 684-4613
(601) 249-2226
Mailing address
300 RAWLS DR, SUITE 400, MCCOMB, MS 39648-2877
(601) 684-4613
(601) 249-2226
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07985398
—
MS
Enumeration date
09/27/2006
Last updated
08/28/2007
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