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Organization
SOUTHERN UROLOGY SURGERY CENTER, LLC
Active
Organization
SOUTHERN UROLOGY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH TARPLEY AZAR M. D. (MEMBER)
(601) 450-2401
Entity
Organization
Contact information
Practice address
139 FAIRFIELD DRIVE, HATTIESBURG, MS 39402
(601) 450-2401
(601) 450-2434
Mailing address
139 FAIRFIELD DRIVE, HATTIESBURG, MS 39402
(601) 450-2401
(601) 450-2434
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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