OrganizationActive
Tylertown Surgical Associates
NPI 1114030129 · Clinic/Center · Tylertown, MS
Tylertown Surgical Associates is a Clinic/Center organization in Tylertown, MS (NPI 1114030129).
Provider details
- NPI number
- 1114030129
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Posavanike Ganaraj, President(601) 876-4961
- License
- 07415 (MS)
Practice location
250 Hospital Dr
Tylertown, MS 39667-2020
Phone: (601) 876-4961
Fax: (601) 876-9172
Approximate (ZIP-level) locationGet directions
Mailing address
250 Hospital Dr
Tylertown, MS 39667-2020
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.