Organization
COAST SURGICAL SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA CAMPBELL (REGISTERED NURSE FIRST ASSISTANT)
(228) 342-1634
Entity
Organization
Contact information
Practice address
296 BEAUVOIR RD STE 100-273, BILOXI, MS 39531-4051
(228) 342-1634
Mailing address
296 BEAUVOIR RD STE 100-273, BILOXI, MS 39531-4051
(228) 342-1634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/07/2018
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