# SURGICAL ASSOCIATES OF VALDOSTA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891768917
- **Authorized official:** DR. DAVID KEITH PARKER M.D. (MD/OFFICER)
- **Authorized official phone:** (229) 242-4996

## Contact information

- **Practice address:** 2704 N OAK ST, BLDG F, VALDOSTA, GA 31602-1744
- **Practice address phone:** (229) 242-4996
- **Practice address fax:** (229) 242-2306
- **Mailing address:** 2704 N OAK ST, BLDG F, VALDOSTA, GA 31602-1744
- **Mailing address phone:** (229) 242-4996
- **Mailing address fax:** (229) 242-2306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | GA | — |
| 2086S0129X | Vascular Surgery Physician | — | GA | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 01/20/2010
