Southern Neurologic & Spinal Institute

LBN: Southern Neurologic & Spinal Institute
Southern Neurologic & Spinal Institute is an health care organization with primary practice located at 1 Lincoln Pkwy Ste 300, Hattiesburg MS 39402-3262. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Neurologic & Spinal Institute can be contacted via phone (601) 579-4440, or through Gendusa, Shelley H via phone (601) 579-4440.

Contact Information

Primary practice address
1 Lincoln Pkwy Ste 300 Hattiesburg MS 39402-3262
Phone: (601) 579-4440
Fax: (601) 579-4460
Website:
Map and Directions
Authorized official contact:
Name: Gendusa, Shelley H
Phone: (601) 579-4440

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1336240969
LBN Legal business name Southern Neurologic & Spinal Institute
DBA Doing business as
Authorized official Gendusa, Shelley H
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 7th, 2008 - about 16 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 1336240969 NPPES
Mississippi MEDICAID 09016031

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