Organization
SOUTHWEST SURGICAL ASSOCIATES, P.C.
Active
Other names
Southwest Surgical Associates, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD A WILLIAMS MD (MD/OWNER)
(912) 427-9169
Entity
Organization
Contact information
Practice address
311 PEACHTREE ST, JESUP, GA 31545-0245
(912) 427-9169
(912) 427-9171
Mailing address
PO BOX 467, JESUP, GA 31598-0467
(912) 427-9169
(912) 427-9171
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055788
GA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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