Organization
SURGERY CLINIC OF COLUMBUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L VINSON MD (PRESIDENT)
(662) 328-3441
Entity
Organization
Contact information
Practice address
255 BAPTIST BLVD STE 306, COLUMBUS, MS 39705-2006
(662) 328-3441
(662) 328-5540
Mailing address
255 BAPTIST BLVD STE 306, COLUMBUS, MS 39705-2006
(662) 328-3441
(662) 328-5540
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015416
—
MS
01
—
SO858PR
BLUE CROSS
MS
Enumeration date
04/11/2007
Last updated
12/05/2007
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