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ST DOMINIC AMBULATORY SURGERY CENTER L L C

Surgery Yellow Pages

Jackson, Mississippi

Provider NPI: 1255303517

Organization Information:
Organization Name:  ST DOMINIC AMBULATORY SURGERY CENTER L L C


Practice Location:
970 LAKELAND DR SUITE 15 JACKSON, MS 39216 US
Tel: 601-984-8800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
MS011

Other Provider Identifiers:

IssuerNumberStateType
0770362MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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