NPI | 1073791158 |
---|---|
Doing Business As | SOUTHERN EYE CENTER OF EXCELLENCE |
Entity Type | Organization |
Authorized Contact | LYNN B MCMAHAN President 601-264-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MS 010) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2009-01-15 |