Organization
SOUTH REGIONAL SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ROBINSON CSA (PRESIDENT)
(678) 662-8792
Entity
Organization
Contact information
Practice address
145 FOREST HALL LN, FAYETTEVILLE, GA 30214-4025
(678) 662-8792
Mailing address
145 FOREST HALL LN, FAYETTEVILLE, GA 30214-4025
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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