Sapheneia Medical Minimally Invasive Therapy Institute
NPI #1912099805 in Jackson, Mississippi
Provider Information
- NPI Number
- 1912099805
- Entity Type
- Organization
- Organization Name
- Sapheneia Medical Minimally Invasive Therapy Institute
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 932 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2613
- Phone
- (601) 352-5663
Authorized Official
- Name
- MR. RICHARD A MANCILLA
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (601) 352-5663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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