Organization
SOUTHWEST GEORGIA SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEALI DRISCOLL (ACCOUNT MANAGER)
(630) 285-1530
Entity
Organization
Contact information
Practice address
100 WHEATLEY DR, SUITE 305, AMERICUS, GA 31709-3788
(229) 928-1100
(229) 928-1255
Mailing address
100 WHEATLEY DR, PO BOX 663, SUITE 305, AMERICUS, GA 31709-3788
(229) 928-1100
(229) 928-1255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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