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Organization
SURGICAL GROUP PSC
Active
Organization
SURGICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUDELE ORAZINE (OFFICE MANAGER)
(270) 441-4300
Entity
Organization
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 302, PADUCAH, KY 42003-7914
(270) 441-4300
(270) 441-4329
Mailing address
225 MEDICAL CENTER DR, SUITE 302, PADUCAH, KY 42003-7914
(270) 441-4300
(270) 441-4329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2006
Last updated
08/22/2020
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