JEFFERSON SURGERY CENTER PLLC

PINE BLUFF, AR
NPI1710934542
Former Legal Business NameJHA AMBULATORY SURGERY CENTER, LLC
Entity TypeOrganization
Authorized ContactCRYSTAL R BOHANNAN
Administrator
870-541-3640
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: AR  AR3637)
Enumeration Date2006-05-27
Last Update Date2008-08-26
Business Address
JEFFERSON SURGERY CENTER PLLC
1609 W 40TH AVE JRMC PROFESSIONAL CENTER, SUITE 103
PINE BLUFF, AR 71603-6329
Phone number: 870-541-3636
Mailing Address
JEFFERSON SURGERY CENTER PLLC
1609 W 40TH AVE JRMC PROFESSIONAL CENTER, SUITE 103
PINE BLUFF, AR 71603-6329
Phone number: 870-541-3636