| Surgery Clinic Of Philadelphia | |
|
1003 Holland Ave Suite 101 Philadelphia MS 39350-2180 | |
| (601) 663-1234 | |
| (601) 663-1236 |
| Full Name | Surgery Clinic Of Philadelphia |
|---|---|
| Speciality | Clinic/Center |
| Location | 1003 Holland Ave, Philadelphia, Mississippi |
| Authorized Official Name and Position | Scott Mcnair (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6016631233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgery Clinic Of Philadelphia 1003 Holland Ave Suite 101 Philadelphia MS 39350-2180 Ph: (601) 663-1234 | Surgery Clinic Of Philadelphia 1003 Holland Ave Suite 101 Philadelphia MS 39350-2180 Ph: (601) 663-1234 |
| NPI Number | 1861578536 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 09/22/2017 |
| Medicare PECOS PAC ID | 3577667005 |
|---|---|
| Medicare Enrollment ID | O20070322000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861578536 | NPI | - | NPPES |
| P00258672 | Other | MS | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Andrew Dabbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871538652 PECOS PAC ID: 8527088186 Enrollment ID: I20051129000355 |
| Provider Name | Aamir Hashmat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710983150 PECOS PAC ID: 7618011628 Enrollment ID: I20100215000252 |
| Provider Name | Zaineb Daud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568468908 PECOS PAC ID: 9234273756 Enrollment ID: I20100223000003 |
| Provider Name | Jennifer W Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750665063 PECOS PAC ID: 3870766884 Enrollment ID: I20120525000421 |
| Provider Name | Shelley E Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730592296 PECOS PAC ID: 3375764798 Enrollment ID: I20141028000453 |
| Provider Name | Heather Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801082409 PECOS PAC ID: 6103014642 Enrollment ID: I20150527000339 |
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