Organization
EYE SURGICAL CENTER OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE BRANNON ADEN M.D. (DIRECTOR)
(601) 969-1430
Entity
Organization
Contact information
Practice address
1053 RIVER OAKS DR, FLOWOOD, MS 39232-9595
(601) 969-1430
(601) 709-2117
Mailing address
1053 RIVER OAKS DR, FLOWOOD, MS 39232-9595
(601) 969-1430
(601) 709-2117
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03482026
—
MS
Enumeration date
09/20/2006
Last updated
01/25/2011
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