Organization
MISSISSIPPI SURGICAL CENTER LP
Active
Other names
Mississippi Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L SHARFF JR. (VICE PRESIDENT)
(205) 545-2572
Entity
Organization
Contact information
Practice address
1421 N STATE ST, JACKSON, MS 39202-1658
(601) 353-8000
(601) 948-2507
Mailing address
1421 N STATE ST, JACKSON, MS 39202-1658
(601) 353-8000
(601) 948-2507
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074065
—
MS
Enumeration date
11/09/2005
Last updated
08/26/2010
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