Provider Demographics
NPI:1851688618
Name:PRECISION SURGICAL RESOURCES
Entity Type:Organization
Organization Name:PRECISION SURGICAL RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:228-297-6640
Mailing Address - Street 1:PO BOX 7095
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39506-7095
Mailing Address - Country:US
Mailing Address - Phone:228-297-6640
Mailing Address - Fax:
Practice Address - Street 1:14247 N SWAN RD
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-8551
Practice Address - Country:US
Practice Address - Phone:228-297-6640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty