institution
Ent Of South Georgia Surgery Center Llc
Ambulatory Surgical Clinic/Center in Valdosta, Georgia
NPI 1104272780

Ent Of South Georgia Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Valdosta, GA and is specialized in Ambulatory Surgical. Ent Of South Georgia Surgery Center Llc practices in Valdosta, GA. The NPI Number for Ent Of South Georgia Surgery Center Llc is 1104272780 and holds a License No. (Georgia).

The current practice location address for Ent Of South Georgia Surgery Center Llc is 2805 N Oak St, Valdosta, GA and can be reached out via phone at 229-244-2562 and via fax at 229-249-0000.

Location: 2805 N Oak St, Valdosta, GA, 31602-5922
institution
Provider Profile Details
NPI Number
1104272780
Provider Name
Ent Of South Georgia Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
2805 N Oak St, Valdosta, GA, 31602-5922
Phone Number
229-244-2562
Fax Number
229-249-0000
Provider Enumeration Date
05/12/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000655146A 05 GA
000834589A 05 GA
000946668A 05 GA
institution
Provider Business Practice Location Address Details
Address
2805 N Oak St
City
State
Zip
31602-5922
Phone Number
229-244-2562
Fax Number
229-249-0000
person
Provider Business Mailing Address Details
Address
2805 N Oak St
City
State
Zip
31602-5922
Phone Number
229-244-2562
Fax Number
229-249-0000
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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