Organization
SUMMERVILLE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH WELSH (CHIEF MEDICAL DIRECTOR)
(706) 736-6806
Entity
Organization
Contact information
Practice address
1433 STOVALL ST, AUGUSTA, GA 30904-4883
(706) 736-6806
Mailing address
1433 STOVALL ST, AUGUSTA, GA 30904-4883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
12/01/2008
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