Organization
SOUTHERN SURGICAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN REESE MD (OWNER)
(270) 726-9700
Entity
Organization
Contact information
Practice address
1623 NASHVILLE ST, SUITE 206, RUSSELLVILLE, KY 42276-8889
(270) 726-9700
(270) 726-6400
Mailing address
1623 NASHVILLE ST, SUITE 206, RUSSELLVILLE, KY 42276-8889
(270) 726-9700
(270) 726-6400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TP556
KY
Other
Enumeration date
10/06/2007
Last updated
11/11/2009
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