Jefferson Surgery Center Pllc
NPI #1710934542 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1710934542
- Entity Type
- Organization
- Organization Name
- Jefferson Surgery Center Pllc
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 27, 2006
- Last Updated
- Aug 26, 2008
Practice Location
- Address
- 1609 W 40TH AVE
- Address 2
- JRMC PROFESSIONAL CENTER, SUITE 103
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-6329
- Phone
- (870) 541-3636
Authorized Official
- Name
- MRS. CRYSTAL R BOHANNAN, CPA
- Title
- ADMINISTRATOR
- Phone
- (870) 541-3640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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