EC
EYE CARE SURGERY CENTER OF SOUTHAVEN,LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
SOUTHAVEN, MS
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1780767673
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients587
Authorized official
NameSUBBA GOLLAMUDI
TitleMEDICAL DIRECTOR
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