Organization
SOUTHERN SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINA BRUMBLES (OFFICE MANAGER)
(843) 399-9095
Entity
Organization
Contact information
Practice address
3600 SEA MOUNTAIN HWY, SUITE A, LITTLE RIVER, SC 29566-8161
(843) 399-9095
(843) 399-9098
Mailing address
3600 SEA MOUNTAIN HWY, SUITE A, LITTLE RIVER, SC 29566-8161
(843) 399-9095
(843) 399-9098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
SC
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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