Ent of South Georgia Surgery Center LLC

NPI #1104272780 in Valdosta, Georgia

Provider Information

NPI Number
1104272780
Entity Type
Organization
Organization Name
Ent of South Georgia Surgery Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EAR, NOSE, THROAT AND ALLERGY ASSOCIATES OF SOUTH GEORGIA PC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 12, 2016
Last Updated
May 3, 2017

Practice Location

Address
2805 N OAK ST
State
Georgia
ZIP Code
31602-5922
Phone
(229) 244-2562

Authorized Official

Name
DR. RONALD V ALLEN
Title
PRESIDENT
Phone
(229) 244-2562

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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