Organization
LOWNDES COUNTY AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH YOUNG MBA (ADMINISTRATOR)
(229) 242-8480
Entity
Organization
Contact information
Practice address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 247-7539
Mailing address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 247-7539
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
092121
GA
Other
Enumeration date
01/03/2007
Last updated
12/19/2007
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