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

Southern Vascular and Pain Surgery Center Olive Branch LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1063307650

Southern Vascular and Pain Surgery Center Olive Branch LLC is an Ambulatory Surgical Clinic/Center in Olive Branch, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8990 Germantown Rd Ste A
Olive Branch, MS 38654-8532
Phone: (901) 350-0678
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1063307650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Hodgkiss — Md/Owner · (901) 350-0978
NPI enumeratedJune 12, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address921 Dent Rd, Eads, TN 38028-9704

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