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Organization

PAULSEN STREET SUGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY TAYLOR (MANAGER)
(205) 824-6250
Entity
Organization

Contact information

Practice address
4425 PAULSEN ST, FL 2, SAVANNAH, GA 31405-3662
(912) 350-2802
Mailing address
PO BOX 535734, ATLANTA, GA 30353-5510
(912) 350-2802
(912) 350-2830

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
GA

Other

Enumeration date
05/29/2012
Last updated
11/29/2012
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