Organization
ISLAND SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE GWYN BOWEN M.D. (PRESIDENT)
(912) 634-1993
Entity
Organization
Contact information
Practice address
1015 ARTHUR J MOORE DR, ST SIMONS ISLAND, GA 31522-2206
(912) 634-1993
(912) 634-1166
Mailing address
1015 ARTHUR J MOORE DR, ST SIMONS ISLAND, GA 31522-2206
(912) 634-1993
(912) 634-1166
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
02/04/2008
Last updated
07/21/2022
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