Organization · Type 2 NPI
Southern Surgical Group, LLC
Specialist · Little River, SC
NPI number
1376977884
Active
Practice location
3600 Sea Mountain Hwy Suite A
Little River, SC 29566
Fax (843) 399-9098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 186449 (SC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1376977884
Southern Surgical Group, LLC's National Provider Identifier is 1376977884, issued on Sep 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Little River, SC. The record was last updated on Sep 3, 2013.