Organization
SOUTHERN SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE NAZIRI M.D. (PRESIDENT)
(252) 758-2224
Entity
Organization
Contact information
Practice address
2455 EMERALD PL, GREENVILLE, NC 27834-5785
(252) 758-2224
(252) 758-2860
Mailing address
2455 EMERALD PL, GREENVILLE, NC 27834-5785
(252) 758-2224
(252) 758-2860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017EX
BCBS
NC
05
—
5901798
—
NC
Enumeration date
05/08/2006
Last updated
08/22/2020
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