Surgery Associates Pa in Tupelo - Surgery
Surgery Associates Pa - NPI 1790760692
Surgery Associates Pa is a Surgery in Tupelo, Mississippi. Surgery Associates Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Surgery Associates Pa is 1790760692. The last update date is 2010-01-15.
Surgery Associates Pa's current location address is 440 Pegram Dr, Tupelo, Mississippi. You can contact this provider via phone number 6628445344 and fax number 6628445363. The mailing address for Surgery Associates Pa is 440 Pegram Dr, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgery Associates Pa |
|---|---|
| Address | 440 Pegram Dr, Tupelo, Mississippi |
| Phone Number | 6628445344 |
| Fax Number | 6628445363 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Gilliland H David |
| Credentials | M.D. |
| Telephone Number | 6628445344 |
NPI Number Detail
| NPI Number | 1790760692 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2010-01-15 |
Provider Mailing Address Detail
| Address | 440 Pegram Dr |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388016319 |
| Phone Number | 6628445344 |
| Fax Number | 6628445363 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1588255 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Surgery Associates Pa by the Centers for Medicare & Medicaid Services?
The Surgery Associates Pa has been assigned the NPI (National Provider Identifier) 1790760692. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Surgery Associates Pa's facilities are geographically located?
The facilities of Surgery Associates Pa are physically situated at the following location: 440 Pegram Dr, Tupelo, MS, 388016319.
What is the Surgery Associates Pa's area of specialization and corresponding taxonomy classification?
The Surgery Associates Pa's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did Surgery Associates Pa receive its 1790760692 assignment from the Centers for Medicare & Medicaid Services?
The Surgery Associates Pa was assigned its 1790760692 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Surgery Associates Pa's information last updated?
The Surgery Associates Pa's information was last updated on 2010-01-15.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL