Organization
TUPELO SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDRA BYRD (BUSINESS OFFICE MANAGER)
(662) 844-3555
Entity
Organization
Contact information
Practice address
3353 N GLOSTER ST, SUITE 300, TUPELO, MS 38804-9735
(662) 407-0334
(662) 840-5614
Mailing address
3353 N GLOSTER ST, SUITE 300, TUPELO, MS 38804-9735
(662) 407-0334
(662) 840-5614
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
0502562
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770601
—
MS
Enumeration date
05/11/2006
Last updated
03/26/2010
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