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UPSON SURGICAL ASSOCIATES LLC NPI 1790076974


NPI Information

NPI: 1790076974
Provider Name: UPSON SURGICAL ASSOCIATES, LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 11D2188081

Address:
612 WEST GORDON STREET
SUITE E
THOMASTON, GA
ZIP 30286
Phone: (706) 647-3116
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UPSON SURGICAL ASSOCIATES, LLC is a surgery in Thomaston, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. UPSON SURGICAL ASSOCIATES, LLC NPI is 1790076974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 WEST GORDON STREET
SUITE E
THOMASTON, GA
ZIP 30286-027
Phone: (706) 647-3116
Fax: (706) 648-3368

The provider's authorized official is Jeffrey Tarrant .
The authorized official title is Ceo and has the following contact phone number (706) 647-8111.

The CLIA number assigned to this NPI record is 11D2188081 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2011 and was last updated on 8/12/2020.


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
1208600000XSurgeryYes

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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