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Organization

NORTH OAK AMBULATORY SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AVIS S GRIFFIN (OFFICE MANAGER)
(229) 242-3668
Entity
Organization

Contact information

Practice address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666
Mailing address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
092-374
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003127038A
GA
Enumeration date
11/29/2007
Last updated
11/27/2012
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