Organization
GREENVILLE AMBULATORY SURGERY CENTER, LLC
Active
Other names
Greenville Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WADDELL (EXECUTIVE DIRECTOR OF ASC)
(501) 766-1065
Entity
Organization
Contact information
Practice address
1600 S COLORADO ST, GREENVILLE, MS 38703-7216
(844) 215-0731
(888) 630-8885
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(844) 215-0731
(888) 630-8885
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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