GENERAL SURGERY OF SOUTHAVEN LLC

SOUTHAVEN, MS
NPI1164535415
Entity TypeOrganization
Authorized ContactDANIEL BENJAMIN FORE
Owner
662-536-1944
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2006-08-17
Last Update Date2016-03-24
Business Address
GENERAL SURGERY OF SOUTHAVEN LLC
401 SOUTHCREST CIR SUITE 210
SOUTHAVEN, MS 38671-6726
Phone number: 662-536-1944
Mailing Address
GENERAL SURGERY OF SOUTHAVEN LLC
401 SOUTHCREST CIR SUITE 210
SOUTHAVEN, MS 38671-6726
Phone number: 662-536-1944
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