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Organization
LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC
Active
Organization
LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
1 LINCOLN PKWY STE 100, HATTIESBURG, MS 39402-3261
(601) 579-3406
(601) 264-0853
Mailing address
1 LINCOLN PKWY STE 100, HATTIESBURG, MS 39402-3261
(601) 579-3406
(601) 264-0853
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
005
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077924
—
MS
Enumeration date
08/14/2006
Last updated
05/06/2024
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