Organization
SOUTHERN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BUCKLEY DAVIS JR. MD (MEDICAL DIRECTOR)
(229) 434-4200
Entity
Organization
Contact information
Practice address
605 N WESTOVER BLVD, ALBANY, GA 31707-2188
(229) 434-4200
(229) 434-1488
Mailing address
605 N WESTOVER BLVD, ALBANY, GA 31707-2188
(229) 434-4200
(229) 434-1488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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