Organization
SURGERY CLINIC OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MCNAIR (CHIEF FINANCIAL OFFICER)
(601) 663-1233
Entity
Organization
Contact information
Practice address
1003 HOLLAND AVE, SUITE 101, PHILADELPHIA, MS 39350-2180
(601) 663-1234
(601) 663-1236
Mailing address
1003 HOLLAND AVE, SUITE 101, PHILADELPHIA, MS 39350-2180
(601) 663-1234
(601) 663-1236
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00258672
MEDICARE RAILROAD
MS
Enumeration date
10/27/2006
Last updated
09/22/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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