SOG SURGERY CENTER LLC is an ambulatory surgical clinic center in Tupelo, MS. SOG SURGERY CENTER LLC NPI is 1912480070. The provider is registered as an organization entity type.
The provider's business location address is:
1211 S GLOSTER ST STE B
TUPELO, MS
ZIP 38801-535
Phone: (662) 432-1490
The provider's authorized official is Thomas Luster .
The authorized official title is Ceo and has the following contact phone number (662) 767-4200.
The CLIA number assigned to this NPI record is 25D2161439 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/13/2018 and was last updated on 6/4/2020.