Organization
SOUTHERN EYE CENTER P.A. II
Active
Other names
Southern Eye Center of Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN B MCMAHAN M.D. (PRESIDENT)
(601) 705-0078
Entity
Organization
Contact information
Practice address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
Mailing address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
010
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02144
MEDICARE GROUP SUBMITTER
MS
Enumeration date
08/27/2008
Last updated
08/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us