institution
South Georgia Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Waycross, Georgia
NPI 1952412413

South Georgia Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Waycross, GA and is specialized in Ambulatory Surgical. South Georgia Surgery Center, Llc practices in Waycross, GA. The NPI Number for South Georgia Surgery Center, Llc is 1952412413 and holds a License No. 111252ASCA (Georgia).

The current practice location address for South Georgia Surgery Center, Llc is 306 Isabella Street, Waycross, GA and can be reached out via phone at 912-490-7246 and via fax at 912-490-7247.

Location: 306 Isabella Street, Waycross, GA, 31501-3636
institution
Provider Profile Details
NPI Number
1952412413
Provider Name
South Georgia Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
306 Isabella Street, Waycross, GA, 31501-3636
Phone Number
912-490-7246
Fax Number
912-490-7247
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
P00188566 01 GA RR MEDICARE
495658553A 05 GA
institution
Provider Business Practice Location Address Details
Address
306 Isabella Street
City
State
Zip
31501-3636
Phone Number
912-490-7246
Fax Number
912-490-7247
person
Provider Business Mailing Address Details
Address
306 Isabella Street
City
State
Zip
31501-3636
Phone Number
912-490-7246
Fax Number
912-490-7247
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
111252ASCA (Georgia)
Definition
Definition to come...
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