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Organization
SOUTHERN EYE SURGERY AND LASER CENTER, LLC
Active
Organization
SOUTHERN EYE SURGERY AND LASER CENTER, LLC
Active
Other names
Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
KIPER C NELSON MD (OWNER, LLC MEMBER)
(601) 264-3937
Entity
Organization
Contact information
Practice address
1923 W 10TH ST, LAUREL, MS 39440-2538
(601) 264-3937
(601) 264-3937
Mailing address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
(601) 264-5930
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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