NPI 1609964600

Southern Surgical Associates, P. A.

Organisation Specialist Hattiesburg, MS

Practice location

Address: 39 Franklin Rd Suite 220, Hattiesburg, MS 39402-1588
Phone: (601) 450-2401
Fax: (601) 450-2434

Authorised official

Name: George James Azar
Title: President
Phone: (601) 450-2401

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 15260 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1609964600
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 22 Aug 2020

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.