Gulf South Surgery Center LLC
NPI #1154360501 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1154360501
- Entity Type
- Organization
- Organization Name
- Gulf South Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1206 31ST AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-1804
- Phone
- (228) 864-0008
Authorized Official
- Name
- DR. JASON SMITH, MD
- Title
- ADMINISTRATOR
- Phone
- (228) 818-0563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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