Organization
ELITE SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERON LOWERY REGISTERED NURSE (REGISTERED NURSE FIRST ASSIST)
(478) 697-0436
Entity
Organization
Contact information
Practice address
3321 N 10TH ST, OCEAN SPRINGS, MS 39564-8005
(478) 697-0436
Mailing address
3321 N 10TH ST, OCEAN SPRINGS, MS 39564-8005
(478) 697-0436
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
04/02/2025
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