Provider Demographics
NPI:1972794329
Name:PALMS SURGERY CENTER LLC
Entity Type:Organization
Organization Name:PALMS SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-893-4531
Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70511-1060
Mailing Address - Country:US
Mailing Address - Phone:337-893-4531
Mailing Address - Fax:337-893-0825
Practice Address - Street 1:204 N MAGDALEN SQ
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4645
Practice Address - Country:US
Practice Address - Phone:337-893-4531
Practice Address - Fax:337-893-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical