Southern Surgical Associates, Pc in Lawrenceville - Surgery
Southern Surgical Associates, Pc - NPI 1497936785
Southern Surgical Associates, Pc is a Surgery in Lawrenceville, Georgia. Southern Surgical Associates, Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Southern Surgical Associates, Pc is 1497936785. The last update date is 2016-05-03.
Southern Surgical Associates, Pc's current location address is 743 Old Norcross Rd, Lawrenceville, Georgia. You can contact this provider via phone number 7705131763 and fax number 7705132199. The mailing address for Southern Surgical Associates, Pc is 743 Old Norcross Rd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Surgical Associates, Pc |
|---|---|
| Address | 743 Old Norcross Rd, Lawrenceville, Georgia |
| Phone Number | 7705131763 |
| Fax Number | 7705132199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jensen L Kevin |
| Credentials | M.D. |
| Telephone Number | 7705131763 |
NPI Number Detail
| NPI Number | 1497936785 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2016-05-03 |
Provider Mailing Address Detail
| Address | 743 Old Norcross Rd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300464317 |
| Phone Number | 7705131763 |
| Fax Number | 7705132199 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP2433 | GA | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the Southern Surgical Associates, Pc's 1497936785?
The Southern Surgical Associates, Pc's NPI (National Provider Identifier) Number is 1497936785. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Southern Surgical Associates, Pc's facilities are situated?
The facilities of Southern Surgical Associates, Pc are physically located at the following address: 743 Old Norcross Rd, Lawrenceville, GA, 300464317.
What is Southern Surgical Associates, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Surgical Associates, Pc is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Southern Surgical Associates, Pc receive the assignment of its 1497936785 from the Centers for Medicare & Medicaid Services?
The Southern Surgical Associates, Pc was issued its 1497936785 by the Centers for Medicare & Medicaid Services on 2007-11-15.
When was the Southern Surgical Associates, Pc's information last updated?
The Southern Surgical Associates, Pc's information was last updated on 2016-05-03.