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1033190129
MAE PHYSICIANS SURGERY CENTER, LLC
JACKSON, MS
NPI
1033190129
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Entity Type
Organization
Authorized Contact
CARLA GLAZE
Administrator
601-968-1790
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2005-11-07
Last Update Date
2014-04-10
Business Address
MAE PHYSICIANS SURGERY CENTER, LLC
1190 N STATE ST STE 102
JACKSON, MS 39202-2413
Phone number: 601-968-1790
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Mailing Address
MAE PHYSICIANS SURGERY CENTER, LLC
PO BOX 12673
JACKSON, MS 39236-2673
Phone number: 601-968-1790
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