Organization
SOUTH GEORGIA SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CASCONE MD (PHYSICIAN)
(229) 226-8881
Entity
Organization
Contact information
Practice address
100 MIMOSA DR, THOMASVILLE, GA 31792-6676
(229) 226-8881
Mailing address
PO BOX 520, THOMASVILLE, GA 31799-0520
(229) 226-8881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE1020
RAILROAD MEDICARE
GA
Enumeration date
08/22/2006
Last updated
02/07/2008
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