# SURGERY CENTER OF DECATUR LP

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

## Provider details

- **NPI number:** 1962513788
- **Authorized official:** MRS. JENNIFER LATHRAM (ADMINISTRATOR)
- **Authorized official phone:** (256) 560-2890

## Contact information

- **Practice address:** 1122 14TH AVENUE SE, DECATUR, AL 35601-3361
- **Practice address phone:** (256) 560-2890
- **Practice address fax:** (256) 560-2891
- **Mailing address:** PO BOX 1164, DECATUR, AL 35602-1164
- **Mailing address phone:** (256) 560-2890
- **Mailing address fax:** (256) 560-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 12143 | AL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/09/2013