Organization
MID-SOUTH SURGEONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W RICHARDSON JR. M.D. (PHY PARTNER)
(931) 380-3033
Entity
Organization
Contact information
Practice address
1222 TROTWOOD AVE, SUITE 211, COLUMBIA, TN 38401-6436
(931) 380-3033
(931) 388-3401
Mailing address
1222 TROTWOOD AVE, SUITE 211, COLUMBIA, TN 38401-6436
(931) 380-3033
(931) 388-3401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3719952
—
TN
Enumeration date
04/27/2006
Last updated
01/14/2010
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