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Organization

SURGERY SOUTH LLC

Active
Other names
John O Issis MD Surgery South, LLC, SURGERY SOUTH LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHERINE SHUNNARAH (OFFICE MANAGER)
(205) 481-7485
Entity
Organization

Contact information

Practice address
985 9TH AVE SW STE 507, BESSEMER, AL 35022-7814
(205) 481-7485
(205) 481-7494
Mailing address
975 9TH AVE SW, SUITE 200, BESSEMER, AL 35022-7837
(205) 481-7485
(205) 481-7494

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13626
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529901150
AL
01
CG7061
RAILROAD MEDICARE
AL
Enumeration date
11/01/2007
Last updated
10/24/2019
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