Southern Surgical PC

NPI #1700905593 in Dublin, Georgia

Provider Information

NPI Number: 1700905593
Entity Type: Organization
Organization Name: Southern Surgical PC
Primary Specialty: Specialist
Enumeration Date: Mar 29, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 2406 BELLEVUE RD
Address 2: #11 ERIN OFFICE PARK
City: Dublin
State: Georgia
ZIP Code: 31021-2842
Phone: (478) 275-2454

Authorized Official

Name: DR. WILLIAM (BILL) H MOSES JR., M.D.
Title: OWNER
Phone: (478) 275-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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