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UROGYN SURGERY LLC NPI 1770271629


NPI Information

NPI: 1770271629
Provider Name: UROGYN SURGERY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 25D2287498

Address:
120 STONE CREEK BLVD STE 800
FLOWOOD, MS
ZIP 39232
Phone: (601) 914-6450
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UROGYN SURGERY LLC is an ambulatory surgical clinic center in Flowood, MS. UROGYN SURGERY LLC NPI is 1770271629. The provider is registered as an organization entity type.

The provider's business location address is:

120 STONE CREEK BLVD STE 800
FLOWOOD, MS
ZIP 39232-205
Phone: (601) 914-6450
Fax: (601) 500-5351

The provider's authorized official is Chris Harrell .
The authorized official title is Managing Partner and has the following contact phone number (601) 966-7743.

The CLIA number assigned to this NPI record is 25D2287498 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2023 and was last updated on 5/30/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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