Organization
COLEMAN CATARACT AND EYE LASER SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BUSH (RN/ADMINISTRATOR)
(662) 455-4523
Entity
Organization
Contact information
Practice address
2005 HWY 82 W, GREENWOOD, MS 38930
(662) 455-4523
(662) 455-3790
Mailing address
2005 HWY 82 W, GREENWOOD, MS 38930
(662) 455-4523
(662) 455-3790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R792327
MS
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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