NPI | 1659365013 |
---|---|
Doing Business As | LEES SURGICENTER |
Doing Business As | LEE'S SURGICENTER |
Entity Type | Organization |
Authorized Contact | THEODORE A. JACKSON President 304-342-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2005-08-31 |
Last Update Date | 2024-11-09 |