Tylertown Surgical Associates
Tylertown Surgical Associates is a Clinic/Center in Tylertown, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
250 Hospital DrTylertown, MS 39667-2020
Phone: (601) 876-4961
Fax: (601) 876-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 07415 (MS) |
|---|
Record details
| NPI number | 1114030129 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Posavanike Ganaraj — President · (601) 876-4961 |
| NPI enumerated | August 16, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 250 Hospital Dr, P.0. Box 465, Tylertown, MS 39667-2020 |