Southern Surgical, Pa

LBN: Southern Surgical, Pa
Southern Surgical, Pa is an health care organization with primary practice located at 3600 Sea Mountain Hwy Suite A, Little River SC 29566-8161. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Surgical, Pa can be contacted via phone (843) 399-9774, or through Pond, Wilma F via phone (843) 399-9774.

Contact Information

Primary practice address
3600 Sea Mountain Hwy Suite A Little River SC 29566-8161
Phone: (843) 399-9774
Fax: (843) 399-8657
Website:
Map and Directions
Authorized official contact:
Name: Pond, Wilma F
Phone: (843) 399-9774

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1699859355
LBN Legal business name Southern Surgical, Pa
DBA Doing business as
Authorized official Pond, Wilma F
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 25th, 2011 - about 15 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 1699859355 NPPES
North Carolina MEDICAID 890625V
North Carolina MEDICAID GP1384

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