OrganizationActive
Sapheneia Medical Minimally Invasive Therapy Institute
NPI 1912099805 · Ambulatory Surgical Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1912099805
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Mancilla, Chief Operations Officer(601) 352-5663
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
932 N State St
Jackson, MS 39202-2613
Phone: (601) 352-5663
Fax: (601) 352-4437
Approximate (ZIP-level) locationGet directions
Mailing address
932 N State St
Jackson, MS 39202-2613
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.