NPI | 1043577364 |
---|---|
Doing Business As | SOUTHWEST SURGICAL ASSOCIATES, P.C. |
Entity Type | Organization |
Authorized Contact | REGINALD A WILLIAMS Md/Owner 912-427-9169 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 055788) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |