Brookhaven Surgery Clinic P.A.

LBN: Brookhaven Surgery Clinic P.A.
Brookhaven Surgery Clinic P.A. is an health care organization with primary practice located at 1036 D A Biglane Dr , Brookhaven MS 39601-2331. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Brookhaven Surgery Clinic P.A. can be contacted via phone (601) 835-1182, or through Carner, David Vance via phone (601) 835-1182.

Contact Information

Primary practice address
1036 D A Biglane Dr Brookhaven MS 39601-2331
Phone: (601) 835-1182
Fax: (601) 835-1546
Website:
Map and Directions
Authorized official contact:
Name: Carner, David Vance Doctor of Medicine (MD)
Phone: (601) 835-1182

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1760578736
LBN Legal business name Brookhaven Surgery Clinic P.A.
DBA Doing business as
Authorized official Carner, David Vance Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated May 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760578736 NPPES
Mississippi MEDICAID 09013622
Mississippi Other CM2256

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