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Contact Information

SALOUM CISSE, MD
119 S OAK
SUITE 2
RAYMOND, MS39154-4205
 Phone: 601-526-0790
 Fax: 601-526-0795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for SALOUM CISSE · (Male)

NPI Number 1780610444
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2006
Last updated 11/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 18216
  • MS Medicaid 04036718
Hospital affiliation(s)
  • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care)
    P O BOX 948/427 HIGHWAY 51 NORTH
    BROOKHAVEN, MS 39601
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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