Surgery Clinic of Tupelo PA

NPI #1023589017 in Hamilton, Alabama

Provider Information

NPI Number: 1023589017
Entity Type: Organization
Organization Name: Surgery Clinic of Tupelo PA
Primary Specialty: Surgery
Enumeration Date: Dec 17, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 1256 MILITARY ST S
City: Hamilton
State: Alabama
ZIP Code: 35570-5003
Phone: (205) 921-6202

Authorized Official

Name: TERECIA SPAIN
Title: CLINIC ADMINISTRATOR
Phone: (662) 377-6472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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