Upson Surgical Associates, Llc

NPI 1790076974 - Surgery - 208600000X

NPI Details
NPI 1790076974
Enumeration Date 04/22/2011
Last Updated 04/22/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CAROL L CAROL
Position DIRECTOR PHYSICIAN SERVICES
Phone (706) 647-3116
Fax (706) 648-3368
Practice Location
612 WEST GORDON STREET
SUITE E
THOMASTON GA, 30286-0027, US
Phone (706) 647-3116
Fax (706) 648-3368
Business Location
PO BOX 1059
801 WEST GORDON STREET
THOMASTON GA, 30286-0027, US
Phone (706) 647-8111
Fax (706) 646-3310
Toxanomy
Taxonomy Code 208600000X
License State
License Number
Remove 1790076974 NPI Number
 

According to our database, Upson Surgical Associates, Llc NPI is 1790076974, taxonomy code is 208600000X Upson Surgical Associates, Llc physically located at 612 West Gordon Street, Thomaston GA, 30286-0027. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1790076974 NPI number is provided on an as is basis without warranty of any kind. 1790076974 is maintained by the National Plan & Provider Enumeration System. The contents of Upson Surgical Associates, Llc are for informational purposes only.