Advanced Laparoscopic Associates of Ms PC

NPI #1215963616 in Picayune, Mississippi

Provider Information

NPI Number: 1215963616
Entity Type: Organization
Organization Name: Advanced Laparoscopic Associates of Ms PC
Primary Specialty: Surgery
Enumeration Date: Jun 25, 2006
Last Updated: Nov 14, 2007

Practice Location

Address: 1018 SIXTH AVE
City: Picayune
State: Mississippi
ZIP Code: 39466-3837
Phone: (601) 799-3011

Authorized Official

Name: ALFRED BERNARD JOHNSON, MD
Title: LAPAROSCOPIC AND GENERAL SURGEON
Phone: (601) 799-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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