NEW CEDAR LAKE SURGERY CENTER LLC NPI 1295820249

NPI Information

NEW CEDAR LAKE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Biloxi, MS. NEW CEDAR LAKE SURGERY CENTER, LLC NPI is 1295820249. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center At Cedar Lake.

The provider's business location address is:

1720 MEDICAL PARK DR # B
BILOXI, MS
ZIP 39532-131
Phone: (228) 702-2000
Fax: (228) 702-2019

The provider's authorized official is Charles J Wilson .
The authorized official title is Owner And Director and has the following contact phone number (228) 702-2000.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/20/2017.

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

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