Organization
SOUTHERN SURGICAL PROVIDERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. ALEXANDER WYNN MD (PRESIDENT)
(912) 754-0382
Entity
Organization
Contact information
Practice address
459 HIGHWAY 119 S, PHYSICIAN CENTER # 2, SPRINGFIELD, GA 31329-3021
(912) 352-4490
(912) 352-4845
Mailing address
7120 HODGSON MEMORIAL DR, SAVANNAH, GA 31406-2532
(912) 754-0382
(912) 754-0225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
56939
GA
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
01/13/2021
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