| NPI | 1811144348 |
|---|---|
| Doing Business As | SOUTHERN EYE CENTER OF EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | LYNN B MCMAHAN President 601-705-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 010) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |