Surgery Associates Pa
LBN: Surgery Associates Pa
Surgery Associates Pa is an health care organization with primary practice located at 440 Pegram Dr , Tupelo MS 38801-6319. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Surgery Associates Pa can be contacted via phone (662) 844-5344, or through Gilliland, David H via phone (662) 844-5344.
Contact Information
Primary practice address
440 Pegram Dr
Tupelo MS 38801-6319
Phone: (662) 844-5344
Fax: (662) 844-5363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1790760692 |
|---|---|
| LBN Legal business name | Surgery Associates Pa |
| DBA Doing business as | |
| Authorized official | Gilliland, David H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jan 15th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790760692 | NPPES |
| Mississippi | MEDICAID | 01588255 |
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