Organization
SOUTHERN SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (PATIENT ACCOUNTS)
(631) 827-8159
Entity
Organization
Contact information
Practice address
1266 W PACES FERRY RD NW STE 231, ATLANTA, GA 30327-2306
(631) 827-8159
Mailing address
1266 W PACES FERRY RD NW STE 231, ATLANTA, GA 30327-2306
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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