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Organization

SPINE MEDICAL CENTER OF HATTIESBURG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVIDE CLARK LEE M.D. (DR.)
(601) 264-9448
Entity
Organization

Contact information

Practice address
1 LINCOLN PKWY, SUITE 104, HATTIESBURG, MS 39402-3262
(601) 264-9448
(601) 264-9449
Mailing address
PO BOX 2156, GULFPORT, MS 39505-2156
(228) 865-4731
(228) 863-5616

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14446
MS

Other

Enumeration date
04/26/2007
Last updated
07/02/2008
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