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Organization
SOUTHERN VASCULAR AND PAIN SURGERY CENTER OLIVE BRANCH LLC
Active
Organization
SOUTHERN VASCULAR AND PAIN SURGERY CENTER OLIVE BRANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HODGKISS MD (MD/OWNER)
(901) 350-0978
Entity
Organization
Contact information
Practice address
8990 GERMANTOWN RD STE A, OLIVE BRANCH, MS 38654-8532
(901) 350-0678
Mailing address
921 DENT RD, EADS, TN 38028-9704
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
12/03/2025
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