Mae Physicians Surgery Center, LLC
NPI #1033190129 in Jackson, Mississippi
Provider Information
- NPI Number
- 1033190129
- Entity Type
- Organization
- Organization Name
- Mae Physicians Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 7, 2005
- Last Updated
- Apr 10, 2014
Practice Location
- Address
- 1190 N STATE ST
- Address 2
- STE 102
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2413
- Phone
- (601) 968-1790
Authorized Official
- Name
- MRS. CARLA GLAZE
- Title
- ADMINISTRATOR
- Phone
- (601) 968-1790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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