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1497391619
MADISON SPINE SURGERY CENTER, LLC
MADISON, MS
NPI
1497391619
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Entity Type
Organization
Authorized Contact
ADAM I LEWIS
Physician Owner
601-321-1504
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
MADISON SPINE SURGERY CENTER, LLC
160 FOUNTAINS BLVD STE C
MADISON, MS 39110-6380
Phone number: 601-321-1504
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Mailing Address
MADISON SPINE SURGERY CENTER, LLC
1080 RIVER OAKS DR STE B103
FLOWOOD, MS 39232-7602
Phone number: 601-321-1504
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