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SOUTHERN SURGICAL & MEDICALINC. NPI 1003840927


NPI Information

NPI: 1003840927
Provider Name: SOUTHERN SURGICAL & MEDICAL,INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
95 PINE GROVE DR
LOCUST GROVE, GA
ZIP 30248
Phone: (404) 519-7224
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SOUTHERN SURGICAL & MEDICAL,INC. is a durable medical equipment medical supplies in Locust Grove, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHERN SURGICAL & MEDICAL,INC. NPI is 1003840927. The provider is registered as an organization entity type.

The provider's business location address is:

95 PINE GROVE DR
LOCUST GROVE, GA
ZIP 30248-561
Phone: (404) 519-7224

The provider's authorized official is John Wallace .
The authorized official title is President and has the following contact phone number (404) 519-7224.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies423450GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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