Organization
MISSISSIPPI EYE SURGERY CENTER UC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY ROBERTSON RN (DIRECTOR)
(228) 244-0067
Entity
Organization
Contact information
Practice address
3432 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564
(228) 244-0067
(228) 244-0071
Mailing address
3432 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564
(228) 244-0067
(228) 244-0071
Taxonomy
Speciality
Code
Description
License number
State
261QA0900X
Amputee Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04480379
—
MS
Enumeration date
07/08/2006
Last updated
08/05/2008
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