SURGERY CENTER OF BJI LLC NPI 1881911451

NPI Information

NPI: 1881911451
Provider Name: SURGERY CENTER OF BJI, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2006607

Address:
112 PROFESSIONAL COURT
JESUP, GA
ZIP 31545
Phone: (912) 427-0800
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SURGERY CENTER OF BJI, LLC is an ambulatory surgical clinic center in Jesup, GA. SURGERY CENTER OF BJI, LLC NPI is 1881911451. The provider is registered as an organization entity type.

The provider's business location address is:

112 PROFESSIONAL COURT
JESUP, GA
ZIP 31545
Phone: (912) 427-0800
Fax: (912) 427-6029

The provider's authorized official is John Lex Kenerly .
The authorized official title is President and has the following contact phone number (912) 427-0800.

The CLIA number assigned to this NPI record is 11D2006607 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2010 and was last updated on 10/31/2016.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	30633	GEORGIA	Yes

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

NPI Synchronization or Removal

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