Organization
MERIDIAN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FORTENBERRY (A/R MANAGER)
(601) 485-4443
Entity
Organization
Contact information
Practice address
2100 13TH ST, MERIDIAN, MS 39301-3428
(601) 485-4443
(601) 485-9060
Mailing address
2100 13TH ST, MERIDIAN, MS 39301-3428
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
MS
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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