Organization
MARION GENERAL HOSPITAL
Active
Other names
Marion County Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HOWELL (CHIEF EXECUTIVE OFFICER)
(601) 740-2190
Entity
Organization
Contact information
Practice address
910 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-0177
(601) 736-0179
Mailing address
910 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-0177
(601) 736-0179
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06824714
—
MS
Enumeration date
08/22/2006
Last updated
08/22/2020
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