Organization
SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DALE JACKSON MD, SAC (PROVIDER)
(228) 304-9436
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
15520 DANIEL BLVD # 310, GULFPORT, MS 39503-4735
(228) 304-9436
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
09/11/2025
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