Southern Regional Physicians Management Group, LLC

NPI #1043677271 in Riverdale, Georgia

Provider Information

NPI Number: 1043677271
Entity Type: Organization
Organization Name: Southern Regional Physicians Management Group, LLC
Primary Specialty: Surgery
Enumeration Date: Jan 19, 2016
Last Updated: Jan 19, 2016

Practice Location

Address: 11 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2615
Phone: (770) 991-8000

Authorized Official

Name: CHRISTOPHER DOAN
Title: CHIEF COMPLIANCE COUNSEL
Phone: (909) 235-4307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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