Organization
SOUTHERN SURGICAL ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JAMES AZAR III M. D. (PRESIDENT)
(601) 450-2401
Entity
Organization
Contact information
Practice address
39 FRANKLIN RD, SUITE 220, HATTIESBURG, MS 39402-1588
(601) 450-2401
(601) 450-2434
Mailing address
39 FRANKLIN RD, SUITE 220, HATTIESBURG, MS 39402-1588
(601) 450-2401
(601) 450-2434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15260
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118119
—
MS
Enumeration date
10/11/2006
Last updated
08/22/2020
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