Organization
SKIN CANCER SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L MCGINNESS MD (OWNER/MEDICAL DIRECTOR)
(618) 622-7546
Entity
Organization
Contact information
Practice address
331 REGENCY PARK, O FALLON, IL 62269-1887
(618) 622-7546
(618) 227-0098
Mailing address
331 REGENCY PARK, O FALLON, IL 62269-1887
(618) 622-7546
(618) 227-0098
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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