Mississippi Urology Outpatient Surgery Center, LLC
NPI #1548655053 in Jackson, Mississippi
Provider Information
- NPI Number
- 1548655053
- Entity Type
- Organization
- Organization Name
- Mississippi Urology Outpatient Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 1, 2015
- Last Updated
- Mar 21, 2017
Practice Location
- Address
- 501 MARSHALL ST
- Address 2
- SUITE 201
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-1651
- Phone
- (601) 353-9900
Authorized Official
- Name
- DR. HAROLD J BLALOCK, MD
- Title
- OWNER
- Phone
- (601) 353-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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