NPI | 1528340536 |
---|---|
Doing Business As | SOUTHERN SURGICAL |
Entity Type | Organization |
Authorized Contact | JONATHAN L SKINNER Surgeon Owner 334-699-0060 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL 18574) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2022-05-24 |