| NPI | 1073946216 |
|---|---|
| Former Legal Business Name | MADISON PHYSICIANS SURGERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | MEREDITH GORE WARF Administrator 601-605-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-06-26 |