New Cedar Lake Surgery Center, LLC
NPI #1295820249 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1295820249
- Entity Type
- Organization
- Organization Name
- New Cedar Lake Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Feb 20, 2017
Practice Location
- Address
- 1720 MEDICAL PARK DR # B
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39532-2131
- Phone
- (228) 702-2000
Authorized Official
- Name
- MR. CHARLES J WILSON, M.D.
- Title
- OWNER AND DIRECTOR
- Phone
- (228) 702-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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