Southern Surgical Providers, P.C.

LBN: Southern Surgical Providers, P.C.
Southern Surgical Providers, P.C. is an health care organization with primary practice located at 459 Highway 119 S Physician Center # 2, Springfield GA 31329-3021. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Southern Surgical Providers, P.C. can be contacted via phone (912) 352-4490, or through Wynn, R. Alexander via phone (912) 754-0382.

Contact Information

Primary practice address
459 Highway 119 S Physician Center # 2 Springfield GA 31329-3021
Fax: (912) 352-4845
Website:
Authorized official contact:
Name: Wynn, R. Alexander Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 56939 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1619398328
LBN Legal business name Southern Surgical Providers, P.C.
DBA Doing business as
Authorized official Wynn, R. Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2013
Last updated Jan 13th, 2021 - about 5 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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