Southern Surgical Pc in Dublin - Specialist

Southern Surgical Pc - NPI 1700905593

Southern Surgical Pc is a Specialist in Dublin, Georgia. Southern Surgical Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Surgical Pc is 1700905593. The last update date is 2007-08-01.

Southern Surgical Pc's current location address is Po Box 10, Dublin, Georgia. You can contact this provider via phone number 4782752454 and fax number 4782750991. The mailing address for Southern Surgical Pc is Po Box 10, Dublin, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Surgical Pc
Address Po Box 10, Dublin, Georgia
Phone Number 4782752454
Fax Number 4782750991
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Moses H William (Bill)
Credentials M.D.
Telephone Number 4782752454

NPI Number Detail

NPI Number 1700905593
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address Po Box 10
City Dublin
State Georgia (GA)
Post Code 310400010
Phone Number 4782752454
Fax Number 4782750991

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2524982 GA UNITEDHEALTH CARE GROUP #

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FAQs about Southern Surgical Pc

What is the unique 10-digit identifier code issued to Southern Surgical Pc by the Centers for Medicare & Medicaid Services?

The Southern Surgical Pc has been assigned the NPI (National Provider Identifier) 1700905593 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Southern Surgical Pc is physically located?

The Southern Surgical Pc is physically situated at the following address: Po Box 10, Dublin, GA, 310400010.

What is Southern Surgical Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Southern Surgical Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1700905593 assigned to Southern Surgical Pc?

The Southern Surgical Pc was issued its 1700905593 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Southern Surgical Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Southern Surgical Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-01.

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