| NPI | 1770544694 |
|---|---|
| Doing Business As | SOUTH GEORGIA SURGICAL CLINIC PC |
| Entity Type | Organization |
| Authorized Contact | JOEL M JOHNSON President 229-382-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2022-07-21 |