Organization
SOUTH GEORGIA UROLOGY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX O AJAYI MD (OWNER)
(229) 435-0832
Entity
Organization
Contact information
Practice address
803 N JACKSON ST STE B, ALBANY, GA 31701-2313
(229) 431-2260
Mailing address
803 N JACKSON ST STE B, ALBANY, GA 31701-2313
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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