NPI 1336240969

Southern Neurologic & Spinal Institute

Organisation Specialist Hattiesburg, MS

Practice location

Address: 1 Lincoln Pkwy STE 300, Hattiesburg, MS 39402-3262
Phone: (601) 579-4440
Fax: (601) 579-4460

Authorised official

Name: Shelley H Gendusa
Title: Administrator
Phone: (601) 579-4440

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Mississippi →

Registry record

NPI: 1336240969
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 7 Apr 2008

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.