Organization
CENTRAL SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE M NICOLS M.D. (AUTHORIZED OFFICIAL)
(601) 944-1781
Entity
Organization
Contact information
Practice address
1190 N STATE ST, SUITE 502, JACKSON, MS 39202-2413
(601) 944-1781
(601) 353-0439
Mailing address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
(601) 353-0439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00601288
—
MS
Enumeration date
03/21/2007
Last updated
09/22/2025
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