NPI 1487353330
Surgical Services LLC
Practice location
- Address
- 4500 13th St, Gulfport, MS 39501-2515
- Phone
- (228) 867-4000
- Mailing address
- 15520 Daniel Blvd # 310, Gulfport, MS 39503-4735
Authorised official
- Name
- Timothy Dale Jackson
- Title
- Provider
- Phone
- (228) 304-9436
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1487353330
- Entity type
- Organization
- NPI issued
- 1 Mar 2023
- Record last updated
- 11 Sep 2025
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.