| NPI | 1528416641 |
|---|---|
| Doing Business As | SOUTHERN EYE CENTER - LAUREL |
| Entity Type | Organization |
| Authorized Contact | KIPER C NELSON Owner, LLC Member 601-264-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |