New Albany Surgical Group PA
NPI #1093801367 in New Albany, Mississippi
Provider Information
- NPI Number
- 1093801367
- Entity Type
- Organization
- Organization Name
- New Albany Surgical Group PA
- Primary Specialty
- Surgery
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Nov 28, 2007
Practice Location
- Address
- 226 STARLYN AVE
- City
- New Albany
- State
- Mississippi
- ZIP Code
- 38652-2428
- Phone
- (662) 534-8159
Authorized Official
- Name
- BRUCE ALLAN BULLWINKEL, M.D.
- Title
- PHYSICIAN
- Phone
- (662) 534-8159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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