Southern Surgical & Medical,inc.
NPI #1003840927 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1003840927
- Entity Type
- Organization
- Organization Name
- Southern Surgical & Medical,inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 95 PINE GROVE DR
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-2561
- Phone
- (404) 519-7224
Authorized Official
- Name
- JOHN WALLACE
- Title
- PRESIDENT
- Phone
- (404) 519-7224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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