Surgical Practice Facility
NPI #1396987582 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1396987582
- Entity Type
- Organization
- Organization Name
- Surgical Practice Facility
- Primary Specialty
- Surgery
- Enumeration Date
- Apr 2, 2009
- Last Updated
- Apr 2, 2009
Practice Location
- Address
- 701 BLUEBIRD BLVD
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-5085
- Phone
- (478) 825-7000
Authorized Official
- Name
- NANCY PEED
- Title
- CEO
- Phone
- (478) 825-8691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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