Organization
ADVANCED LAPAROSCOPIC SURGERY OF SOUTH WEST MISSISSIPPI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T MCGRAW M.D. (OWNER)
(601) 684-2481
Entity
Organization
Contact information
Practice address
1311 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-2481
(601) 684-2488
Mailing address
1311 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-2481
(601) 684-2488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21373
MS
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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