Organization · Type 2 NPI
Tylertown Surgical Associates
Clinic/Center · Tylertown, MS
NPI number
1114030129
Active
Practice location
250 Hospital Dr
Tylertown, MS 39667-2020
Fax (601) 876-9172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 07415 (MS) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1114030129
Tylertown Surgical Associates's National Provider Identifier is 1114030129, issued on Aug 16, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tylertown, MS. The record was last updated on Aug 22, 2020.