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SOUTHERN NEUROSCIENCE CENTER PA NPI 1346267325


NPI Information

NPI: 1346267325
Provider Name: SOUTHERN NEUROSCIENCE CENTER, PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
105 ASBURY CIR
SUITE A
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-5222
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SOUTHERN NEUROSCIENCE CENTER, PA is a neurology psychiatry neurology in Hattiesburg, MS. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SOUTHERN NEUROSCIENCE CENTER, PA NPI is 1346267325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 ASBURY CIR
SUITE A
HATTIESBURG, MS
ZIP 39402-397
Phone: (601) 268-5222
Fax: (601) 296-3508

The provider's authorized official is Danny M. Sanford .
The authorized official title is Clinic Administrator and has the following contact phone number (601) 268-5222.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 5/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11346267325MEDICARE PINMISSISSIPPI
209016160MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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