| Tylertown Surgical Associates | |
|
250 Hospital Dr Tylertown MS 39667-2020 | |
| (601) 876-4961 | |
| (601) 876-9172 |
| Full Name | Tylertown Surgical Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 250 Hospital Dr, Tylertown, Mississippi |
| Authorized Official Name and Position | Posavanike S Ganaraj (PRESIDENT) |
| Authorized Official Contact | 6018764961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tylertown Surgical Associates 250 Hospital Dr P.0. Box 465 Tylertown MS 39667-2020 Ph: (601) 876-4961 | Tylertown Surgical Associates 250 Hospital Dr Tylertown MS 39667-2020 Ph: (601) 876-4961 |
| NPI Number | 1114030129 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114030129 | NPI | - | NPPES |
| 09016259 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 07415 (Mississippi) | Primary |
Family Medicine Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5835 Fax: 601-876-5295 | |
Walthal Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5303 | |
Harish M. Madnani M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Hospital Dr, B, Tylertown, MS 39667 Phone: 601-876-6006 Fax: 601-876-3603 | |
Walthall General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Tylertown, MS 39667 Phone: 601-876-2122 Fax: 601-876-0432 | |
Walthall General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-2122 Fax: 601-222-0432 | |
Blackwell's Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Ball Ave, Tylertown, MS 39667 Phone: 601-303-8264 |