Organization
MADISON SPINE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM I LEWIS MD (PHYSICIAN OWNER)
(601) 321-1504
Entity
Organization
Contact information
Practice address
160 FOUNTAINS BLVD STE C, MADISON, MS 39110-6380
(601) 321-1504
(601) 932-6111
Mailing address
1080 RIVER OAKS DR STE B103, FLOWOOD, MS 39232-7602
(601) 321-1504
(601) 932-6111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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