Organization · Type 2 NPI
Madison Spine Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Madison, MS
NPI number
1497391619
Active
Practice location
160 Fountains Blvd Ste C
Madison, MS 39110-6380
Fax (601) 932-6111
Mailing address
1080 River Oaks Dr Ste B103
Flowood, MS 39232-7602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1497391619
Madison Spine Surgery Center, LLC's National Provider Identifier is 1497391619, issued on Nov 22, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Madison, MS. The record was last updated on Nov 22, 2019.