OrganizationActive
Southern Surgery Center, LLC
NPI 1912906157 · Ambulatory Surgical Clinic/Center · Hattiesburg, MS
Provider details
- NPI number
- 1912906157
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Burckel, Ceo(601) 554-7525
- License
- 015 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3688 Veterans Memorial Dr
Suite 100
Hattiesburg, MS 39401-8246
Phone: (601) 554-7525
Fax: (601) 554-7574
Approximate (ZIP-level) locationGet directions
Mailing address
3688 Veterans Memorial Dr
Hattiesburg, MS 39401-8246
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2009-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.