Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Mississippi Neurosurgical Services, PLLC

Organization Neurological Surgery Physician · NPI 1104366087

South Mississippi Neurosurgical Services, PLLC provides Neurological Surgery Physician services in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1212 S 28th Ave
Hattiesburg, MS 39402
Phone: (601) 475-2430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 09082 (MS)

Record details

NPI number1104366087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Brent — Owner/Physician · (601) 579-4440
NPI enumeratedFebruary 27, 2017
Last updated in NPPESJune 12, 2018
Mailing address1212 South 28th Ave, Hattiesburg, MS 39402-3261

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