Organization
HATTIESBURG SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JAMES AZAR III 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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