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Southern Surgical, Pa
Specialist in Little River, South Carolina
NPI 1699859355

Southern Surgical, Pa is a Specialist based in Loris, SC. Southern Surgical, Pa practices in Little River, SC. The NPI Number for Southern Surgical, Pa is 1699859355 and holds a License No. (South Carolina).

The current practice location address for Southern Surgical, Pa is 3600 Sea Mountain Hwy, Little River, SC and can be reached out via phone at 843-399-9774 and via fax at 843-399-8657.

Location: 3600 Sea Mountain Hwy, Little River, SC, 29569-0599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699859355
Provider Name
Southern Surgical, Pa
Credential
Provider Entity Type
Organization
Address
3600 Sea Mountain Hwy, Little River, SC, 29569-0599
Phone Number
843-399-9774
Fax Number
843-399-8657
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890625V 05 NC
GP1384 05 SC
institution
Provider Business Practice Location Address Details
Address
3600 Sea Mountain Hwy
City
Little River
State
South Carolina
Zip
29566-8161
Phone Number
843-399-9774
Fax Number
843-399-8657
person
Provider Business Mailing Address Details
Address
3600 Sea Mountain Hwy
City
Little River
State
South Carolina
Zip
29566-8161
Phone Number
843-399-9774
Fax Number
843-399-8657
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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