SOUTHERN SURGICAL ASSOCIATES P. A. NPI 1265551162

NPI Information

SOUTHERN SURGICAL ASSOCIATES, P. A. is a specialist in Hattiesburg, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN SURGICAL ASSOCIATES, P. A. NPI is 1265551162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

139 FAIRFIELD DR
HATTIESBURG, MS
ZIP 39402-303
Phone: (601) 450-2401
Fax: (601) 450-2410

The provider's authorized official is George James Azar .
The authorized official title is President and has the following contact phone number (601) 450-2401.

The CLIA number assigned to this NPI record is 25D1028300 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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