South Mississippi Nephrology
NPI #1811171648 in Diamondhead, Mississippi
Provider Information
- NPI Number
- 1811171648
- Entity Type
- Organization
- Organization Name
- South Mississippi Nephrology
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Dec 28, 2007
- Last Updated
- Dec 28, 2007
Practice Location
- Address
- 4405 E ALOHA DR STE I
- City
- Diamondhead
- State
- Mississippi
- ZIP Code
- 39525-3380
- Phone
- (228) 863-7393
Authorized Official
- Name
- DR. DOUGLAS C LANIER JR., M.D.
- Title
- MANAGING MEMBER
- Phone
- (228) 863-7393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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