Organization
BIENVILLE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BOND (CEO)
(228) 230-2663
Entity
Organization
Contact information
Practice address
6300 EAST LAKE BLVD., SUITE 102, VANCLEAVE, MS 39565-6771
(228) 447-4630
(228) 206-2108
Mailing address
6300 EAST LAKE BLVD., SUITE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 206-6398
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
08/15/2024
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