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Organization
EYECARE SURGERY CENTER, LLC
Active
Organization
EYECARE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK R JEFFREYS III M.D. (OWNER)
(601) 366-1085
Entity
Organization
Contact information
Practice address
1501 LAKELAND DR STE 101, JACKSON, MS 39216-4839
(601) 366-1085
(601) 366-5186
Mailing address
1501 LAKELAND DR STE 101, JACKSON, MS 39216-4839
(601) 366-1085
(601) 366-5186
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120588
—
MS
Enumeration date
01/17/2013
Last updated
01/17/2013
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