NPI 1104366087

South Mississippi Neurosurgical Services, PLLC

Organisation Neurological Surgery Physician Hattiesburg, MS

Practice location

Address: 1212 South 28th Ave, Hattiesburg, MS 39402
Phone: (601) 475-2430
Mailing address: 1212 South 28th Ave, Hattiesburg, MS 39402-3261

Authorised official

Name: Charles R. Brent
Title: Owner/Physician
Phone: (601) 579-4440

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 09082 (MS)

Other Neurological Surgery providers in Mississippi →

Registry record

NPI: 1104366087
Entity type: Organization
NPI issued: 27 Feb 2017
Record last updated: 12 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.