| NPI | 1518344498 |
|---|---|
| Doing Business As | PROVIDENCE SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMES L. WALKER President 251-633-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |