Organization
JACKSON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY SALLAS (ADMINISTRATOR)
(334) 293-3920
Entity
Organization
Contact information
Practice address
1725 PARK PL, MONTGOMERY, AL 36106-1138
(334) 293-8484
(334) 293-6880
Mailing address
1725 PARK PL, MONTGOMERY, AL 36106-1138
(334) 293-8484
(334) 293-6880
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
AL
Other
Enumeration date
06/09/2009
Last updated
02/14/2022
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