Organization

Southerncare Anesthetics Llc

Clinic/Center in Hattiesburg, MS(View on Map)

Legal Business Name

Southerncare Anesthetics Llc

NPI Number

1043908015

NPI Type

Organization

Enumeration Date

04/27/2023

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4 WILLOW PT STE 50
4 WILLOW PT STE 1B

City

Hattiesburg
Hattiesburg

State

MS
MS

Postal Code

39402-1150
39402-1150

Country

US
US

Telephone Number

N/A
(601) 582-6069

Authorized Official

Name

Jory Scott

Title or Position

OWNER

Telephone Number

(601) 582-6069

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/27/2023

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