NPI 1093214819
Premier Surgical Center, LLC
Practice location
- Address
- 160 Fountains Blvd, Madison, MS 39110
- Phone
- (601) 968-8132
- Fax
- (601) 944-9780
- Mailing address
- 160 Fountains Blvd STE C, Madison, MS 39110-6380
Authorised official
- Name
- Rebekah Elizabeth Henderson
- Title
- Or Aministrator
- Phone
- (601) 391-2525
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1093214819
- Entity type
- Organization
- NPI issued
- 7 Feb 2018
- Record last updated
- 12 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.