Organization
SOUTHERN SURGERY CENTER LLC
Active
Other names
SOUTHERN SURGERY CENTER ANESTHESIA GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT THOMPSON (BOM)
(706) 812-9902
Entity
Organization
Contact information
Practice address
1805 VERNON RD, SUITE C, LAGRANGE, GA 30240-3871
(706) 812-9902
(706) 812-0802
Mailing address
1805 VERNON RD, SUITE C, LAGRANGE, GA 30240-3871
(706) 812-9902
(706) 812-0802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
06/22/2010
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