Jea Surgical, LLC
NPI #1669242822 in Madison, Mississippi
Provider Information
- NPI Number
- 1669242822
- Entity Type
- Organization
- Organization Name
- Jea Surgical, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 8, 2024
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 1026 BAPTIST CIRCLE
- Address 2
- SUITE 101
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (601) 353-2020
Authorized Official
- Name
- SHANE HUMPHRIES
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (601) 353-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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