North Madison Surgical Group

NPI #1740471572 in Canton, Mississippi

Provider Information

NPI Number: 1740471572
Entity Type: Organization
Organization Name: North Madison Surgical Group
Subpart: Yes (part of a larger organization)
Parent Organization: MADISON COUNTY HMA PHYSICIAN MGT. SERVICES
Primary Specialty: Surgery
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 1421 E PEACE ST
Address 2: SUITE B
City: Canton
State: Mississippi
ZIP Code: 39046-4938
Phone: (601) 859-5323

Authorized Official

Name: BRAD SINCLAIR
Title: REGIONAL MANAGER
Phone: (601) 936-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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