Organization
SPECIALTY SURGERY & LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SHIPP M.D. (OWNER)
(662) 286-6068
Entity
Organization
Contact information
Practice address
306 BRADLEY RD STE A, CORINTH, MS 38834-7047
(662) 286-6068
(662) 286-0188
Mailing address
306 BRADLEY RD STE A, CORINTH, MS 38834-7047
(662) 286-6068
(662) 286-0188
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/09/2018
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