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Tylertown Surgical Associates
Clinic/Center in Tylertown, Mississippi
NPI 1114030129

Tylertown Surgical Associates is a Clinic/Center based in Tylertown, MS. Tylertown Surgical Associates practices in Tylertown, MS. The NPI Number for Tylertown Surgical Associates is 1114030129 and holds a License No. 07415 (Mississippi).

The current practice location address for Tylertown Surgical Associates is 250 Hospital Dr, Tylertown, MS and can be reached out via phone at 601-876-4961 and via fax at 601-876-9172.

Location: 250 Hospital Dr, Tylertown, MS, 39667-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114030129
Provider Name
Tylertown Surgical Associates
Credential
Provider Entity Type
Organization
Address
250 Hospital Dr, Tylertown, MS, 39667-2020
Phone Number
601-876-4961
Fax Number
601-876-9172
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09016259 05 MS
institution
Provider Business Practice Location Address Details
Address
250 Hospital Dr
City
Tylertown
State
Mississippi
Zip
39667-2020
Phone Number
601-876-4961
Fax Number
601-876-9172
person
Provider Business Mailing Address Details
Address
250 Hospital Dr
City
Tylertown
State
Mississippi
Zip
39667-2020
Phone Number
601-876-4961
Fax Number
601-876-9172
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
07415 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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