ST DOMINIC AMBULATORY SURGERY CENTER L L C

JACKSON, MS
NPI1255303517
Entity TypeOrganization
Authorized ContactRICHARD YELVERTON
Medical Director
601-984-8800
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: MS  011)
Enumeration Date2006-02-02
Last Update Date2010-06-16
Business Address
ST DOMINIC AMBULATORY SURGERY CENTER L L C
970 LAKELAND DR SUITE 15
JACKSON, MS 39216-4601
Phone number: 601-984-8800
Mailing Address
ST DOMINIC AMBULATORY SURGERY CENTER L L C
970 LAKELAND DR. SUITE 15
JAKCSON, MS 39216
Phone number: 601-984-8800
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