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Organization
COLEMAN CATARACT AND EYE LASER SURGERY CENTER, INC.
Active
Organization
COLEMAN CATARACT AND EYE LASER SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BUSH (RN/ADMINISTRATOR)
(662) 455-4523
Entity
Organization
Contact information
Practice address
2005 HWY 82 W, GREENWOOD, MS 38930
(662) 455-4523
(662) 455-3790
Mailing address
2005 HWY 82 W, GREENWOOD, MS 38930
(662) 455-4523
(662) 455-3790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R792327
MS
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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