Southern Surgery Center LLC

NPI #1639326994 in Lagrange, Georgia

Provider Information

NPI Number: 1639326994
Entity Type: Organization
Organization Name: Southern Surgery Center LLC
Primary Specialty: Anesthesiology
Enumeration Date: Aug 19, 2008
Last Updated: Jun 22, 2010

Practice Location

Address: 1805 VERNON RD
Address 2: SUITE C
City: Lagrange
State: Georgia
ZIP Code: 30240-3871
Phone: (706) 812-9902

Authorized Official

Name: MRS. PAT THOMPSON
Title: BOM
Phone: (706) 812-9902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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