Organization
SURGICAL ASSOCIATES OF WR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY L MCBRIDE (PRACTICE ADMINISTRATOR)
(478) 923-0144
Entity
Organization
Contact information
Practice address
1701 WATSON BLVD, WARNER ROBINS, GA 31093-3633
(478) 923-0144
(478) 923-3471
Mailing address
1701 WATSON BLVD, WARNER ROBINS, GA 31093-3633
(478) 923-0144
(478) 923-3471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC0190
RAILROAD MEDICARE
GA
Enumeration date
07/13/2006
Last updated
09/06/2019
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