Southern Urology Surgery Center, LLC
NPI #1578898276 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1578898276
- Entity Type
- Organization
- Organization Name
- Southern Urology Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 14, 2009
- Last Updated
- Oct 14, 2009
Practice Location
- Address
- 139 FAIRFIELD DRIVE
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402
- Phone
- (601) 450-2401
Authorized Official
- Name
- DR. DEBORAH TARPLEY AZAR, M. D.
- Title
- MEMBER
- Phone
- (601) 450-2401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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