Organization · Type 2 NPI

ST Dominic Ambulatory Surgery Center L L C

Ambulatory Surgical Clinic/Center · Jackson, MS

NPI number 1255303517 Active

Practice location

970 Lakeland Dr, Suite 15
Jackson, MS 39216-4601

Call (601) 984-8800 Map

Fax (601) 321-8670

Mailing address

970 Lakeland Dr., Suite 15
Jakcson, MS 39216

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X011 (MS)

Ambulatory Surgical Clinic/Center: Definition to come...

29 other providers at this address

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About NPI 1255303517

ST Dominic Ambulatory Surgery Center L L C's National Provider Identifier is 1255303517, issued on Feb 2, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Jackson, MS. The record was last updated on Jun 16, 2010.