Organization
MEDICAL SURGICAL ARTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTUS P SORIANO M.D. (M.D.)
(601) 656-1440
Entity
Organization
Contact information
Practice address
517 CENTER AVE N, PHILADELPHIA, MS 39350-2552
(601) 656-1440
(601) 656-8510
Mailing address
517 CENTER AVE N, PHILADELPHIA, MS 39350-2552
(601) 656-1440
(601) 656-8510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
06089
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00486391
—
MS
Enumeration date
06/24/2008
Last updated
06/24/2008
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