Organization
CEDAR SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKRAM MAHMOUD HASSANYEH MD (PRESIDENT)
(912) 871-7100
Entity
Organization
Contact information
Practice address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-7100
(912) 871-7110
Mailing address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-7100
(912) 871-7110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000365131D
—
GA
05
—
00827681B
—
GA
01
—
020046873
MEDICARE - RAILROAD - AKR
GA
Enumeration date
08/12/2006
Last updated
03/24/2010
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