| Marion County Surgical Clinic | |
|
910 Sumrall Rd Columbia MS 39429-2652 | |
| (601) 736-0177 | |
| (601) 736-0179 |
| Full Name | Marion County Surgical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 910 Sumrall Rd, Columbia, Mississippi |
| Authorized Official Name and Position | Jerry Howell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6017402190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion County Surgical Clinic 910 Sumrall Rd Columbia MS 39429-2652 Ph: (601) 736-0177 | Marion County Surgical Clinic 910 Sumrall Rd Columbia MS 39429-2652 Ph: (601) 736-0177 |
| NPI Number | 1194831909 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194831909 | NPI | - | NPPES |
| 06824714 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Mississippi) | Primary |
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