Organization
SOUTHERN SURGICAL PC
Active
Other names
The Vein Clinic and MediSpa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM (BILL) H MOSES JR. M.D. (OWNER)
(478) 275-2454
Entity
Organization
Contact information
Practice address
2406 BELLEVUE RD, #11 ERIN OFFICE PARK, DUBLIN, GA 31021-2842
(478) 275-2454
(478) 275-0991
Mailing address
PO BOX 10, DUBLIN, GA 31040-0010
(478) 275-2454
(478) 275-0991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2524982
UNITEDHEALTH CARE GROUP #
GA
Enumeration date
03/29/2007
Last updated
08/01/2007
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