Organization
JONESBORO AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI YOUNG RN (ADMINISTRATOR)
(501) 554-1273
Entity
Organization
Contact information
Practice address
1710 MAYFIELD DR, JONESBORO, AR 72401
(501) 554-1273
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
01/27/2020
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