Organization · Type 2 NPI
Ent of South Georgia Surgery Center LLC
Ambulatory Surgical Clinic/Center · Valdosta, GA
NPI number
1104272780
Active
Practice location
2805 N Oak St
Valdosta, GA 31602-5922
Fax (229) 249-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104272780
Ent of South Georgia Surgery Center LLC's National Provider Identifier is 1104272780, issued on May 12, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Valdosta, GA. The record was last updated on May 3, 2017.