Organization · Type 2 NPI
Southern Vascular and Pain Surgery Center Olive Branch LLC
Ambulatory Surgical Clinic/Center · Olive Branch, MS
NPI number
1063307650
Active
Practice location
8990 Germantown Rd Ste A
Olive Branch, MS 38654-8532
Mailing address
921 Dent Rd
Eads, TN 38028-9704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Olive Branch
About NPI 1063307650
Southern Vascular and Pain Surgery Center Olive Branch LLC's National Provider Identifier is 1063307650, issued on Jun 12, 2025. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Olive Branch, MS. The record was last updated on Dec 3, 2025.