UA
UROLOGIC AMBULATORY SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
TUPELO, MS
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1154867562
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients817
RevalidationDue 2023-10-31
Authorized official
NameDEONNE HENRY
TitleDIRECTOR OF OPERATIONS
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