Organization
JACKSON OPHTHALMOLOGY ASC LLC
Active
Other names
Physicians Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN NEEL (MARKET PRESIDENT)
(731) 661-6343
Entity
Organization
Contact information
Practice address
207 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 661-6340
(731) 661-6363
Mailing address
207 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 661-6340
(731) 661-6363
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000075
TN
Other
Enumeration date
02/16/2006
Last updated
11/06/2024
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