# SOUTHERN ALABAMA SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346349164
- **Authorized official:** MRS. SHARRON ALANE BYRD (ADMINISTER)
- **Authorized official phone:** (334) 793-3411

## Contact information

- **Practice address:** 2800 ROSS CLARK CIR, SUITE 3, DOTHAN, AL 36301-2040
- **Practice address phone:** (334) 793-3411
- **Practice address fax:** (334) 712-0227
- **Mailing address:** 2800 ROSS CLARK CIRCLE, SUITE 3, DOTHAN, AL 36301
- **Mailing address phone:** (334) 793-3411
- **Mailing address fax:** (334) 712-0227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261Q00000X | Clinic/Center | 12124 | AL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/23/2014
