Organization
SOUTH GEORGIA SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J LUPI D.O. (OWNER)
(912) 267-9000
Entity
Organization
Contact information
Practice address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
(912) 267-9000
Mailing address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
(912) 267-9000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
09/28/2006
Last updated
04/06/2010
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