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Organization

JACKSON EYE INSTITUTE AMBULATORY SURGERY CENTER LLC

Active
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Organization

JACKSON EYE INSTITUTE AMBULATORY SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES ALVIN BRUCE JR. MD (OWNER)
(601) 939-0079
Entity
Organization

Contact information

Practice address
2500 LAKELAND DR, SUITE B, JACKSON, MS 39232-7641
(601) 939-0079
(601) 939-6823
Mailing address
2500 LAKELAND DR, SUITE B, JACKSON, MS 39232-7641
(601) 939-0079
(601) 939-6823

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25C0001016
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770208
—
MS
Enumeration date
01/02/2007
Last updated
12/15/2016
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