Southern Surgery Center, LLC
NPI #1912906157 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1912906157
- Entity Type
- Organization
- Organization Name
- Southern Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 19, 2005
- Last Updated
- Dec 28, 2009
Practice Location
- Address
- 3688 VETERANS MEMORIAL DR
- Address 2
- SUITE 100
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-8246
- Phone
- (601) 554-7525
Authorized Official
- Name
- MR. DAVID M. BURCKEL
- Title
- CEO
- Phone
- (601) 554-7525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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