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Surgery Clinic Of Philadelphia
Clinic/Center in Philadelphia, Mississippi
NPI 1861578536

Surgery Clinic Of Philadelphia is a Clinic/Center based in Philadelphia, MS. Surgery Clinic Of Philadelphia practices in Philadelphia, MS. The NPI Number for Surgery Clinic Of Philadelphia is 1861578536 and holds a License No. (Mississippi).

The current practice location address for Surgery Clinic Of Philadelphia is 1003 Holland Ave, Philadelphia, MS and can be reached out via phone at 601-663-1234 and via fax at 601-663-1236.

Location: 1003 Holland Ave, Philadelphia, MS, 39350-2180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861578536
Provider Name
Surgery Clinic Of Philadelphia
Credential
Provider Entity Type
Organization
Address
1003 Holland Ave, Philadelphia, MS, 39350-2180
Phone Number
601-663-1234
Fax Number
601-663-1236
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00258672 01 MS MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1003 Holland Ave
City
Philadelphia
State
Mississippi
Zip
39350-2180
Phone Number
601-663-1234
Fax Number
601-663-1236
person
Provider Business Mailing Address Details
Address
1003 Holland Ave
City
Philadelphia
State
Mississippi
Zip
39350-2180
Phone Number
601-663-1234
Fax Number
601-663-1236
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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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39350-2180
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