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Organization

SOUTHERN SURGICAL SPECIALTIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT S CULPEPPER M.D. (SURGEON)
(229) 938-4931
Entity
Organization

Contact information

Practice address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4620
(229) 271-4614
Mailing address
PO BOX 1135, CORDELE, GA 31010-1135
(229) 276-2004
(229) 276-3641

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
046072
GA

Other

Enumeration date
09/12/2014
Last updated
01/30/2015
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