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BAPTIST DESOTO SURGERY CENTER, LP

Surgery Yellow Pages

Southaven, Mississippi

Provider NPI: 1447225503

Organization Information:
Organization Name:  BAPTIST DESOTO SURGERY CENTER, LP


Practice Location:
391 SOUTHCREST CIRCLE SUITE 100 SOUTHAVEN, MS 38671 US
Tel: 662-349-0910  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
MS026
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
00239288MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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