Southport Surgical Associates, P.a.
NPI #1760693618 in Southport, North Carolina
Provider Information
- NPI Number
- 1760693618
- Entity Type
- Organization
- Organization Name
- Southport Surgical Associates, P.a.
- Primary Specialty
- Surgery
- Enumeration Date
- May 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 621B N FODALE AVE
- City
- Southport
- State
- North Carolina
- ZIP Code
- 28461-3550
- Phone
- (910) 457-1880
Authorized Official
- Name
- DR. LARRY FELIX WEISNER
- Title
- PRESIDENT
- Phone
- (910) 457-1880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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