NPI 1811171648

South Mississippi Nephrology

Organisation Nephrology Physician Diamondhead, MS

Practice location

Address: 4405 E Aloha Dr STE I, Diamondhead, MS 39525-3380
Phone: (228) 863-7393
Fax: (228) 864-0546
Mailing address: 4300b W Railroad St, Gulfport, MS 39501

Authorised official

Name: Douglas C Lanier
Title: Managing Member
Phone: (228) 863-7393

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1811171648
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

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.