Westside Surgery Llc

NPI 1013253178 - Clinic/Center - 261QA1903X

NPI Details
NPI 1013253178
Enumeration Date 12/18/2012
Last Updated 12/18/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name AMBER AMBER
Position PRACTICE ADMINISTRATOR
Phone (912) 384-2200
Fax
Practice Location
314 WESTSIDE DR
DOUGLAS GA, 31533-3530, US
Phone (912) 384-2200
Fax
Business Location
314 WESTSIDE DR
DOUGLAS GA, 31533-3530, US
Phone (912) 384-2200
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State Georgia
License Number 034-403
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According to our database, Westside Surgery Llc NPI is 1013253178, taxonomy code is 261QA1903X and license number is 034-403, license state is located at Georgia. Westside Surgery Llc physically located at 314 Westside Dr, Douglas GA, 31533-3530. NPI Number 1033115704 has the healthcare provider type.

1013253178 NPI number is provided on an as is basis without warranty of any kind. 1013253178 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Surgery Llc are for informational purposes only.