Organization
SOG SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY THOMPSON (ADMINISTRATOR)
(662) 432-1490
Entity
Organization
Contact information
Practice address
723 CONCORDIA AVE, SUITE 200, OXFORD, MS 38655
(662) 432-1486
Mailing address
1211 S GLOSTER ST STE B, TUPELO, MS 38801-6548
(662) 432-1486
(662) 432-1491
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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