Organization
SOUTHAVEN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SCHNAPP (CEO)
(901) 747-2230
Entity
Organization
Contact information
Practice address
391 SOUTHCREST CIR STE 110, SOUTHAVEN, MS 38671-6730
(901) 747-0040
Mailing address
1111B S GOVERNORS AVE STE 7510, DOVER, DE 19904-6903
(901) 747-2230
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/21/2026
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