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NPI Code Detail

MEDICARE: MEDICAL SURGICAL ARTS CLINIC

MEDICARE: MEDICAL SURGICAL ARTS CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician06089MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356502157
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL SURGICAL ARTS CLINIC
Provider Business Mailing Address
First Line : 517 CENTER AVE N
Second Line :
City : PHILADELPHIA
State : MS
Zip : 39350-2552
Country : US
Telephone Number : 601-656-1440
Fax Number : 601-656-8510
Provider Business Practice Location Address
First Line : 517 CENTER AVE N
Second Line :
City : PHILADELPHIA
State : MS
Zip : 39350-2552
Country : US
Telephone Number : 601-656-1440
Fax Number : 601-656-8510
Authorized Official
Title or Position : M.D.
Name : DR. AUGUSTUS P SORIANO
Credential : M.D.
Telephone Number : 601-656-1440
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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Directions to “MEDICAL SURGICAL ARTS CLINIC ” Practice Location

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