ENT OF SOUTH GEORGIA SURGERY CENTER LLC

VALDOSTA, GA
NPI1104272780
Entity TypeOrganization
Authorized ContactRONALD V ALLEN
President
229-244-2562
Organization Subpart ?Yes
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2016-05-12
Last Update Date2017-05-03
Business Address
ENT OF SOUTH GEORGIA SURGERY CENTER LLC
2805 N OAK ST
VALDOSTA, GA 31602-5922
Phone number: 229-244-2562
Mailing Address
ENT OF SOUTH GEORGIA SURGERY CENTER LLC
2805 N OAK ST
VALDOSTA, GA 31602-5922
Phone number: 229-244-2562