Madison Spine Surgery Center, LLC
NPI #1497391619 in Madison, Mississippi
Provider Information
- NPI Number
- 1497391619
- Entity Type
- Organization
- Organization Name
- Madison Spine Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 22, 2019
- Last Updated
- Nov 22, 2019
Practice Location
- Address
- 160 FOUNTAINS BLVD STE C
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6380
- Phone
- (601) 321-1504
Authorized Official
- Name
- ADAM I LEWIS, MD
- Title
- PHYSICIAN OWNER
- Phone
- (601) 321-1504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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