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Organization
GREENVILLE AMBULATORY SURGERY CENTER, LLC
Active
Organization
GREENVILLE AMBULATORY SURGERY CENTER, LLC
Active
Other names
Greenville Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WADDELL (EXECUTIVE DIRECTOR OF ASC)
(501) 766-1065
Entity
Organization
Contact information
Practice address
1600 S COLORADO ST, GREENVILLE, MS 38703-7216
(844) 215-0731
(888) 630-8885
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(844) 215-0731
(888) 630-8885
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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