Southern Surgery Center, Llc in Lagrange - Ambulatory Surgical
Southern Surgery Center, Llc - NPI 1639179914
Southern Surgery Center, Llc is a Ambulatory Surgical in Lagrange, Georgia. Southern Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Southern Surgery Center, Llc is 1639179914. The last update date is 2008-03-21.
Southern Surgery Center, Llc's current location address is 1805 Vernon Rd, Lagrange, Georgia. You can contact this provider via phone number 7068129902 and fax number 7068120802. The mailing address for Southern Surgery Center, Llc is 1805 Vernon Rd, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Surgery Center, Llc |
|---|---|
| Address | 1805 Vernon Rd, Lagrange, Georgia |
| Phone Number | 7068129902 |
| Fax Number | 7068120802 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Guy K Daniel |
| Credentials | MD |
| Telephone Number | 7068129902 |
NPI Number Detail
| NPI Number | 1639179914 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2008-03-21 |
Provider Mailing Address Detail
| Address | 1805 Vernon Rd |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302404041 |
| Phone Number | 7068129902 |
| Fax Number | 7068120802 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 141-136 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Southern Surgery Center, Llc?
The Southern Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1639179914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Southern Surgery Center, Llc is physically located?
The Southern Surgery Center, Llc is situated at the following address: 1805 Vernon Rd, Lagrange, GA 302404041.
What is Southern Surgery Center, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southern Surgery Center, Llc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did Southern Surgery Center, Llc receive its 1639179914 assignment from the Centers for Medicare & Medicaid Services?
The Southern Surgery Center, Llc was assigned its 1639179914 on 2005-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Southern Surgery Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southern Surgery Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-21.
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