Organization
PREMIER SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLENE WEIRCOX M.D. (OWNER)
(803) 779-3222
Entity
Organization
Contact information
Practice address
3019 FARROW RD, COLUMBIA, SC 29203-7001
(803) 779-3222
(803) 779-3223
Mailing address
PO BOX 62, COLUMBIA, SC 29202-0062
(803) 779-3222
(803) 779-3223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26856
SC
Other
Enumeration date
12/14/2006
Last updated
09/18/2007
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