Tylertown Surgical Associates
NPI #1114030129 in Tylertown, Mississippi
Provider Information
- NPI Number
- 1114030129
- Entity Type
- Organization
- Organization Name
- Tylertown Surgical Associates
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 250 HOSPITAL DR
- City
- Tylertown
- State
- Mississippi
- ZIP Code
- 39667-2020
- Phone
- (601) 876-4961
Authorized Official
- Name
- DR. POSAVANIKE S GANARAJ, M.D.
- Title
- PRESIDENT
- Phone
- (601) 876-4961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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