Organization
MADISON PHYSICIAN SURGERY CENTER, LLC
Active
Other names
The Surgery Center at Mississippi Sports Medicine, Madison Physicians Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH GORE WARF (ADMINISTRATOR)
(601) 605-5393
Entity
Organization
Contact information
Practice address
4510 LAKELAND DR, FLOWOOD, MS 39232-9583
(601) 944-1717
(601) 944-9780
Mailing address
4510 LAKELAND DR, FLOWOOD, MS 39232-9583
(601) 605-5393
(601) 605-6393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04024064
—
MS
Enumeration date
08/12/2013
Last updated
07/09/2025
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