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Organization
SOUTHERN ALABAMA SURGERY CENTER LLC
Active
Organization
SOUTHERN ALABAMA SURGERY CENTER LLC
Active
Other names
Surgery Center South
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARRON ALANE BYRD (ADMINISTER)
(334) 793-3411
Entity
Organization
Contact information
Practice address
2800 ROSS CLARK CIR, SUITE 3, DOTHAN, AL 36301-2040
(334) 793-3411
(334) 712-0227
Mailing address
2800 ROSS CLARK CIRCLE, SUITE 3, DOTHAN, AL 36301
(334) 793-3411
(334) 712-0227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
261Q00000X
Clinic/Center
12124
AL
261Q00000X
Clinic/Center
—
NULL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/21/2006
Last updated
10/23/2014
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