Organization
THOMASVILLE SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH LAW (OFFICE MANAGER)
(229) 226-6000
Entity
Organization
Contact information
Practice address
2282 E PINETREE BLVD, SUITE B, THOMASVILLE, GA 31792-4807
(229) 226-6000
(229) 226-5859
Mailing address
2282 E. PINETREE BLVD, SUITE B, THOMASVILLE, GA 31792-4807
(229) 226-6000
(229) 226-5859
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11C0001180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000896255A
—
GA
01
—
2271842
UNITED HEALTHCARE
—
01
—
490004937
RAILROAD MEDICARE
—
01
—
51404873
BLUE CROSS
GA
01
—
GRP3917
MEDICARE GROUP NUMBER
GA
Enumeration date
07/10/2006
Last updated
06/11/2020
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