Organization · NPI-2

Corinth Surgery Center, LLC

Nurse Anesthetist, Certified Registered · Corinth, MS

NPI number1679554190
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1679554190
Entity type
Organization (NPI-2)
Legal business name
Corinth Surgery Center, LLC
Organization subpart
No
Enumeration date
Nov 10, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered––Yes

Practice location

401 Alcorn Dr Ste 1c
Corinth, MS 38834-9071

Phone 662-293-2000 · Fax 662-665-0857

Mailing address

401 Alcorn Dr Ste 1c
Corinth, MS 38834-9071

Phone 662-293-2000 · Fax 662-665-0857

Authorized official

Angela Jackson
Administrator
6622932000

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