Mae Physicians Surgery Center, Llc

NPI 1033190129 - Clinic/Center - 261QA1903X

NPI Details
NPI 1033190129
Enumeration Date 11/07/2005
Last Updated 04/10/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CARLA CARLA
Position ADMINISTRATOR
Phone (601) 968-1790
Fax (601) 292-4531
Practice Location
1190 N STATE ST
STE 102
JACKSON MS, 39202-2413, US
Phone (601) 968-1790
Fax (601) 292-4531
Business Location
PO BOX 12673
JACKSON MS, 39236-2673, US
Phone (601) 968-1790
Fax (601) 292-4531
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Mae Physicians Surgery Center, Llc NPI is 1033190129, taxonomy code is 261QA1903X Mae Physicians Surgery Center, Llc physically located at 1190 N State St, Jackson MS, 39202-2413. NPI Number 1033115704 has the healthcare provider type.

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1033190129 NPI number is provided on an as is basis without warranty of any kind. 1033190129 is maintained by the National Plan & Provider Enumeration System. The contents of Mae Physicians Surgery Center, Llc are for informational purposes only.