MU
MISSISSIPPI UROLOGY OUTPATIENT SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
JACKSON, MS
Licensed since
2015
Rate
—
Federal identifiers
NPI registry number1548655053
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,770
RevalidationDue 2023-10-31
Authorized official
NameHAROLD BLALOCK
TitleOWNER
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