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Search › Mississippi › 363A00000X

Jerry Stork, P.A

NPI 1467479550 · on the registry since 2006

Practice

Address
3688 Veterans Memorial Dr
200
Hattiesburg, MS 39401
Phone
(601) 554-7402
Fax
(601) 554-7488
Organisation at this address
Southern Surgery Center, Llc
Southern Bone& Joint Specialists
Sunbelt Rehabilitation Systems, Llc
Southern Bone & Joint Specialists, Pa
Southern Bone & Joint Specialists, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
FL, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi