Organization
OUTPATIENT SURGERY CENTER OF JONESBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRI LYNN PARNELL (FINANCIAL MANAGER)
(870) 935-8500
Entity
Organization
Contact information
Practice address
1100 E MATTHEWS AVE, JONESBORO, AR 72401-4314
(870) 935-8500
(870) 932-6435
Mailing address
1100 E MATTHEWS AVE, JONESBORO, AR 72401-4314
(870) 935-8500
(870) 932-6435
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4142
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149813128
—
AR
Enumeration date
08/29/2005
Last updated
05/05/2010
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