Organization
NOVAMED SURGERY CENTER OF JONESBORO, LLC
Active
Other names
Eye Surgery Center of Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA RENEE COLBERT (ADMINISTRATOR)
(870) 935-6396
Entity
Organization
Contact information
Practice address
601 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 935-6396
(870) 935-4063
Mailing address
601 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 935-6396
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2436
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163018128
—
AR
05
—
502611601
—
MO
Enumeration date
05/20/2006
Last updated
01/17/2025
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