Organization
MAYFIELD AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WADDELL RN (ASC ADMINISTRATOR)
(501) 766-1065
Entity
Organization
Contact information
Practice address
1710 MAYFIELD DR, JONESBORO, AR 72401-4563
(844) 215-0731
(888) 630-8885
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(844) 215-0731
(888) 630-5558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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