Organization
J MELVIN DEESE JR, MD PC
Active
Other names
Summit Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R. LUCAS (FINANCIAL ADMIN)
(912) 262-9961
Entity
Organization
Contact information
Practice address
1111 GLYNCO PKWY STE 100, BRUNSWICK, GA 31525-7922
(912) 262-9961
Mailing address
1111 GLYNCO PKWY STE 100, BRUNSWICK, GA 31525-7922
(912) 262-9961
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
063-160
GA
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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