institution
Southern Eye Surgery Center Llc
Ophthalmologic Surgery Clinic/Center in Hattiesburg, Mississippi
NPI 1073791158

Southern Eye Surgery Center Llc is a Ophthalmologic Surgery Clinic/Center based in Hattiesburg, MS and is specialized in Ophthalmologic Surgery. Southern Eye Surgery Center Llc practices in Hattiesburg, MS. The NPI Number for Southern Eye Surgery Center Llc is 1073791158 and holds a License No. 010 (Mississippi).

The current practice location address for Southern Eye Surgery Center Llc is 1420 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-264-3937 and via fax at 601-264-5930.

Location: 1420 S 28Th Ave, Hattiesburg, MS, 39402-3107
institution
Provider Profile Details
NPI Number
1073791158
Provider Name
Southern Eye Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
1420 S 28Th Ave, Hattiesburg, MS, 39402-3107
Phone Number
601-264-3937
Fax Number
601-264-5930
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770066 05 MS
512G490003 01 MS MEDICARE PTAN FOR SOUTHERN EYE SURGERY CENTER LLC
institution
Provider Business Practice Location Address Details
Address
1420 S 28Th Ave
City
State
Zip
39402-3107
Phone Number
601-264-3937
Fax Number
601-264-5930
person
Provider Business Mailing Address Details
Address
1420 S 28Th Ave
City
State
Zip
39402-3107
Phone Number
601-264-3937
Fax Number
601-264-5930
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
010 (Mississippi)
Definition
Definition to come...
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