Organization
CORINTH SURGICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DAVID EDMONSON M.D. (OWNER)
(662) 286-3735
Entity
Organization
Contact information
Practice address
703 ALCORN DR STE 111, CORINTH, MS 38834-9302
(662) 286-3735
(662) 286-3721
Mailing address
703 ALCORN DR STE 111, CORINTH, MS 38834-9302
(662) 286-3735
(662) 286-3721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117462
—
MS
05
—
3729733
—
TN
Enumeration date
08/29/2007
Last updated
09/16/2008
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