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Organization

THE SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA SIMMONS RN, BSN, MSHPA (ADMINISTRATOR)
(706) 323-8803
Entity
Organization

Contact information

Practice address
2548 WEEMS RD, COLUMBUS, GA 31909-6248
(706) 323-8803
(706) 323-9101
Mailing address
2548 WEEMS RD, COLUMBUS, GA 31909-6248
(706) 323-8803
(706) 323-9101

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
106-216
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00871164A
GA
01
158538900
WORKERSCOMP PROVIDER #
GA
01
490004760
RAILROAD MCR PROVIDER #
GA
Enumeration date
06/15/2005
Last updated
07/17/2013
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