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Organization
MERIDIAN SURGERY CENTER, LLC
Active
Organization
MERIDIAN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
2100 13TH ST, MERIDIAN, MS 39301-3428
(601) 485-4443
(601) 485-9060
Mailing address
2100 13TH ST, MERIDIAN, MS 39301-3428
(601) 485-4443
(601) 485-9060
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000050715
BLUE CROSS OF MS
MS
05
—
07430842
—
MS
Enumeration date
12/15/2005
Last updated
09/22/2023
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