Organization
SOUTHERN EYE SURGERY AND LASER CENTER, LLC
Active
Other names
Southern Eye Center - Laurel
Organization subpart
No
Provider details
NPI number
Authorized official
KIPER C NELSON M.D. (OWNER, LLC MEMBER)
(601) 264-3937
Entity
Organization
Contact information
Practice address
1923 W 10TH ST, LAUREL, MS 39440-2538
(601) 264-3937
Mailing address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 705-0078
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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