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Organization

SURGERY ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA LAWMAN (CLINIC ADMINISTRATOR)
(662) 844-5344
Entity
Organization

Contact information

Practice address
440 PEGRAM DR, TUPELO, MS 38801-6319
(662) 844-5344
(662) 844-5363
Mailing address
440 PEGRAM DR, TUPELO, MS 38801-6319
(662) 844-5344
(662) 844-5363

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01588255
MS
Enumeration date
12/13/2005
Last updated
03/19/2026
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