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Southern Urology, P. A.
Specialist in Hattiesburg, Mississippi
NPI 1316065436

Southern Urology, P. A. is a Specialist based in Hattiesburg, MS. Southern Urology, P. A. practices in Hattiesburg, MS. The NPI Number for Southern Urology, P. A. is 1316065436 and holds a License No. (Mississippi).

The current practice location address for Southern Urology, P. A. is 139 Fairfield Dr, Hattiesburg, MS and can be reached out via phone at 601-450-2417 and via fax at 601-450-2410.

Location: 139 Fairfield Dr, Hattiesburg, MS, 39402-1303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316065436
Provider Name
Southern Urology, P. A.
Credential
Provider Entity Type
Organization
Address
139 Fairfield Dr, Hattiesburg, MS, 39402-1303
Phone Number
601-450-2417
Fax Number
601-450-2410
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05137554 05 MS
institution
Provider Business Practice Location Address Details
Address
139 Fairfield Dr
City
Hattiesburg
State
Mississippi
Zip
39402-1303
Phone Number
601-450-2417
Fax Number
601-450-2410
person
Provider Business Mailing Address Details
Address
139 Fairfield Dr
City
Hattiesburg
State
Mississippi
Zip
39402-1303
Phone Number
601-450-2417
Fax Number
601-450-2410
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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