Organization
OUTPATIENT ORTHOPEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FARR OPA-C, CASC (DIRECTOR)
(912) 681-6132
Entity
Organization
Contact information
Practice address
1601 FAIR RD, SUITE 500, STATESBORO, GA 30458-1698
(912) 681-6732
(912) 871-3098
Mailing address
1601 FAIR RD, SUITE 500, STATESBORO, GA 30458-1698
(912) 681-6732
(912) 871-3098
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
016-285
GA
Other
Enumeration date
02/07/2006
Last updated
08/22/2020
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