Organization
WESTSIDE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER PATTERSON (PRACTICE ADMINISTRATOR)
(912) 384-2200
Entity
Organization
Contact information
Practice address
314 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-2200
Mailing address
314 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-2200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
034-403
GA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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