Elberton Surgical LLC

NPI #1154489383 in Elberton, Georgia

Provider Information

NPI Number: 1154489383
Entity Type: Organization
Organization Name: Elberton Surgical LLC
Primary Specialty: Specialist
Enumeration Date: Dec 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4 MEDICAL DRIVE
Address 2: 4TH FLOOR
City: Elberton
State: Georgia
ZIP Code: 30635-1830
Phone: (706) 213-6618

Authorized Official

Name: DR. WILLIAM KENDRIC HALEY, M.D.
Title: MANAGING MEMBER
Phone: (706) 213-6618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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