Southern Surgical Associates, Pllc T/a Norfolk Surgical Group

NPI #1023050465 in Norfolk, Virginia

Provider Information

NPI Number: 1023050465
Entity Type: Organization
Organization Name: Southern Surgical Associates, Pllc T/a Norfolk Surgical Group
Primary Specialty: Specialist
Enumeration Date: Jun 11, 2006
Last Updated: Oct 10, 2007

Practice Location

Address: 6160 KEMPSVILLE CIR
Address 2: SUITE 101B
City: Norfolk
State: Virginia
ZIP Code: 23502-3933
Phone: (757) 461-2515

Authorized Official

Name: DR. STEPHEN D WOHLGEMUTH, M.D.
Title: MANAGING PHYSICIAN
Phone: (757) 461-2515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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