Southern Surgery Wound Care Clinic PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN SURGERY WOUND CARE CLINIC PLLC

Practice address

139 Fairfield Dr
Hattiesburg, MS 39402-1303

Phone

(601) 450-2401

Fax

(601) 450-2434

NPI assigned

Jul 26, 2007

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Duncan Donald, M. D.

Title

Managing Member

Phone

(601) 450-2417

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1639369689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FAIRFIELD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021303",
            "telephone_number": "601-450-2401",
            "fax_number": "601-450-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FAIRFIELD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021303",
            "telephone_number": "601-450-2401",
            "fax_number": "601-450-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SURGERY WOUND CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-450-2417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06083556",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Neuroscience Center, PA
• Southern Physical Therapy, LLC
• Southern Smiles, PLLC
• Southern Star Medical Group LLC
• Southern Surgery Center, LLC
• Southern Surgical Associates, P. a.
• Southern Surgical Associates, P. a.
• Southern Urology Surgery Center, LLC
• Southern Urology, P. a.
• Southern Women's Health, PLLC (Women's Pavilion of South Mississippi)

• Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.