Southern Star Medical Group LLC
Southern Star Medical Group LLC is a Health Service Clinic/Center in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.
- Licensed in
- MS
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
67 Highpointe DrHattiesburg, MS 39402-9536
Phone: (601) 874-5941
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 18593 (MS) |
|---|
Record details
| NPI number | 1568794279 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sivarama Kotikalapudi — Owner · (601) 795-4969 |
| NPI enumerated | February 4, 2010 |
| Last updated in NPPES | February 4, 2010 |
| Mailing address | Po Box 4577, Greenville, MS 38704-4577 |
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