The Surgical Clinic Associates, P.a.

NPI #1821185786 in Jackson, Mississippi

Provider Information

NPI Number: 1821185786
Entity Type: Organization
Organization Name: The Surgical Clinic Associates, P.a.
Primary Specialty: Surgery
Enumeration Date: Oct 10, 2006
Last Updated: Nov 4, 2009

Practice Location

Address: 501 MARSHALL ST
Address 2: SUITE 500
City: Jackson
State: Mississippi
ZIP Code: 39202-1651
Phone: (601) 948-1411

Authorized Official

Name: MR. TERRY HICKMAN, CPA
Title: ADMINISTRATOR
Phone: (601) 948-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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