ST DOMINIC AMBULATORY SURGERY CENTER L L C is an ambulatory surgical clinic center in Jackson, MS. ST DOMINIC AMBULATORY SURGERY CENTER L L C NPI is 1255303517. The provider is registered as an organization entity type.
The provider's business location address is:
970 LAKELAND DR
SUITE 15
JACKSON, MS
ZIP 39216-601
Phone: (601) 984-8800
Fax: (601) 321-8670
The provider's authorized official is Richard Yelverton .
The authorized official title is Medical Director and has the following contact phone number (601) 984-8800.
The CLIA number assigned to this NPI record is 25D1035824 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/2/2006 and was last updated on 6/16/2010.