Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mississippi County Surgical Assn

Organization Surgery Physician · NPI 1700921293

Mississippi County Surgical Assn is a Surgery Physician in Blytheville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007

Practice location Address checks out

1100 Medical Dr Ste D
Blytheville, AR 72315-2437
Phone: (870) 762-1208
Fax: (870) 762-6588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence C4476 (AR)

Record details

NPI number1700921293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Fergus — President · (870) 762-1208
NPI enumeratedFebruary 21, 2007
Last updated in NPPESApril 14, 2008
Mailing addressPo Box 186, Blytheville, AR 72316-0186

Other providers in Blytheville