| NPI | 1033161039 |
|---|---|
| Doing Business As | SOUTHCREST SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0063) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-05 |