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Organization

ALLIANCE HEALTH PARTNERS, LLC

Active
Other names
Tri-Lakes Surgery Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL HAVENS M. D. (CEO)
(662) 934-1140
Entity
Organization

Contact information

Practice address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611
Mailing address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13-287
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00855504
MS
Enumeration date
09/10/2009
Last updated
09/10/2009
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