institution
Desoto Eye Surgery Center Llc
Ambulatory Surgical Clinic/Center in Southaven, Mississippi
NPI 1073754602

Desoto Eye Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Southaven, MS and is specialized in Ambulatory Surgical. Desoto Eye Surgery Center Llc practices in Southaven, MS. The NPI Number for Desoto Eye Surgery Center Llc is 1073754602 and holds a License No. (Mississippi).

The current practice location address for Desoto Eye Surgery Center Llc is 726 Goodman Rd E, Southaven, MS and can be reached out via phone at 662-349-1959 and via fax at 662-349-0424.

Location: 726 Goodman Rd E, Southaven, MS, 38671-9530
institution
Provider Profile Details
NPI Number
1073754602
Provider Name
Desoto Eye Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
726 Goodman Rd E, Southaven, MS, 38671-9530
Phone Number
662-349-1959
Fax Number
662-349-0424
Provider Enumeration Date
03/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00959926 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
726 Goodman Rd E
City
State
Zip
38671-9530
Phone Number
662-349-1959
Fax Number
662-349-0424
person
Provider Business Mailing Address Details
Address
726 Goodman Rd E
City
State
Zip
38671-9530
Phone Number
662-349-1959
Fax Number
662-349-0424
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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