Organization
LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BATSON MD (EXECUTIVE DIRECTOR)
(601) 264-6000
Entity
Organization
Contact information
Practice address
1 LINCOLN PKWY STE 100, HATTIESBURG, MS 39402-3261
(601) 579-3406
(601) 264-0853
Mailing address
1 LINCOLN PKWY STE 100, HATTIESBURG, MS 39402-3261
(601) 579-3406
(601) 264-0853
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
005
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077924
—
MS
Enumeration date
08/14/2006
Last updated
05/06/2024
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