Sandersville Surgical in Sandersville - Surgery

Sandersville Surgical - NPI 1679626568

Sandersville Surgical is a Surgery in Sandersville, Georgia. Sandersville Surgical practices all healthcare services and medical treatments related to Surgery. The NPI Number for Sandersville Surgical is 1679626568. The last update date is 2020-08-22.

Sandersville Surgical's current location address is 501 Sparta Rd Ste C, Sandersville, Georgia. You can contact this provider via phone number 4785530232 and fax number 4785531280. The mailing address for Sandersville Surgical is 501 Sparta Rd Ste C, Sandersville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sandersville Surgical
Address 501 Sparta Rd Ste C, Sandersville, Georgia
Phone Number 4785530232
Fax Number 4785531280
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD
Authorized Official Name Rawl K Douglas
Credentials MD
Telephone Number 4785530232

NPI Number Detail

NPI Number 1679626568
Provider Enumeration Date 2007-01-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 501 Sparta Rd Ste C
City Sandersville
State Georgia (GA)
Post Code 310821314
Phone Number 4785530232
Fax Number 4785531280

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 54030
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SECURE GA RAW001
WELLCARE GA 360483

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FAQs about Sandersville Surgical

What is the unique identification code assigned to Sandersville Surgical by the Centers for Medicare & Medicaid Services?

The Sandersville Surgical has been issued the NPI (National Provider Identifier) 1679626568. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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

The Sandersville Surgical is physically situated at the following address: 501 Sparta Rd Ste C, Sandersville, GA, 310821314.

What is the Sandersville Surgical's area of specialization and corresponding taxonomy classification?

The Sandersville Surgical's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1679626568 to Sandersville Surgical?

The Centers for Medicare & Medicaid Services assigned the 1679626568 to Sandersville Surgical on 2007-01-22.

As of what date were the Sandersville Surgical's details last updated?

The information pertaining to the Sandersville Surgical, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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