Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

General Surgery of Southaven LLC

Organization Surgery Physician · NPI 1164535415

General Surgery of Southaven LLC provides Surgery Physician services in Southaven, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 Southcrest Cir Ste 210
Southaven, MS 38671-6726 Not confirmed with CMS for 10 years — call before visiting
Phone: (662) 536-1944
Fax: (662) 536-1947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1164535415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Fore — Owner · (662) 536-1944
NPI enumeratedAugust 17, 2006
Last updated in NPPESMarch 24, 2016
Mailing address401 Southcrest Cir, Suite 210, Southaven, MS 38671-6726

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