Southern Surgical Associates, Pc

LBN: Southern Surgical Associates, Pc
Southern Surgical Associates, Pc is an health care organization with primary practice located at 743 Old Norcross Rd , Lawrenceville GA 30046-4317. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Southern Surgical Associates, Pc can be contacted via phone (770) 513-1763, or through Jensen, Kevin L via phone (770) 513-1763.

Contact Information

Primary practice address
743 Old Norcross Rd Lawrenceville GA 30046-4317
Phone: (770) 513-1763
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Kevin L Doctor of Medicine (MD)
Phone: (770) 513-1763

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1497936785
LBN Legal business name Southern Surgical Associates, Pc
DBA Doing business as
Authorized official Jensen, Kevin L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated May 3rd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497936785 NPPES
Georgia Other GRP2433 MEDICARE GROUP NUMBER

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