SOUTHERN SURGICAL OUTPATIENT SURGERY CENTER PA NPI 1861038606

NPI Information

SOUTHERN SURGICAL OUTPATIENT SURGERY CENTER, PA is an ambulatory surgical clinic center in Greenville, NC. SOUTHERN SURGICAL OUTPATIENT SURGERY CENTER, PA NPI is 1861038606. The provider is registered as an organization entity type.

The provider's business location address is:

2457 EMERALD PLACE
GREENVILLE, NC
ZIP 27834
Phone: (252) 758-2224
Fax: (252) 413-0823

The provider's authorized official is Debra Butler .
The authorized official title is Office Manager and has the following contact phone number (252) 758-2224.

The CLIA number assigned to this NPI record is 34D2171507 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2019 and was last updated on 11/26/2019.

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:

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