Organization
SOUTHERN SURGICAL ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JAMES AZAR III M.D. (PRESIDENT)
(601) 450-2401
Entity
Organization
Contact information
Practice address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2410
Mailing address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015363
—
MS
Enumeration date
03/29/2007
Last updated
01/31/2011
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