St Dominic Ambulatory Surgery Center L L C
St Dominic Ambulatory Surgery Center L L C is an Ambulatory Surgical Clinic/Center in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
970 Lakeland Dr Ste 15Jackson, MS 39216-4601
Phone: (601) 984-8800
Fax: (601) 321-8670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 011 (MS) |
|---|
Record details
| NPI number | 1255303517 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Yelverton — Medical Director · (601) 984-8800 |
| NPI enumerated | February 2, 2006 |
| Last updated in NPPES | June 16, 2010 |
| Mailing address | 970 Lakeland Dr., Suite 15, Jakcson, MS 39216 |
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