Organization
MEDICAL ARTS SURGICAL GROUP
Active
Other names
Medical Arts Surgical Group Rush
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. BILLUPS III MD (AUTHORIZED/PARNTER)
(601) 693-3834
Entity
Organization
Contact information
Practice address
2111 14TH STREET, MERIDIAN, MS 39301
(601) 693-3834
(601) 484-3225
Mailing address
2111 14TH STREET, MERIDIAN, MS 39301
(601) 693-3834
(601) 484-3225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015368
—
MS
Enumeration date
11/18/2005
Last updated
11/13/2017
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