| NPI | 1124266952 |
|---|---|
| Doing Business As | SURGICAL SPECIALIST OF JACKSON |
| Entity Type | Organization |
| Authorized Contact | MICHELLE L CAMPBELL Practice Administrator 601-366-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 16117) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2014-11-18 |