Organization
CENTURION SURGERY CENTER OF WAYCROSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GROTH (CREDENTIALING MANAGER)
(904) 256-2754
Entity
Organization
Contact information
Practice address
1218 ALICE ST STE B, WAYCROSS, GA 31501-4525
(912) 590-0973
(912) 590-0180
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
07/14/2025
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