WESTSIDE SURGERY LLC NPI 1013253178

NPI Information

NPI: 1013253178
Provider Name: WESTSIDE SURGERY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
314 WESTSIDE DR
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-2200
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WESTSIDE SURGERY LLC is an ambulatory surgical clinic center in Douglas, GA. WESTSIDE SURGERY LLC NPI is 1013253178. The provider is registered as an organization entity type.

The provider's business location address is:

314 WESTSIDE DR
DOUGLAS, GA
ZIP 31533-530
Phone: (912) 384-2200

The provider's authorized official is Amber Patterson .
The authorized official title is Practice Administrator and has the following contact phone number (912) 384-2200.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 12/18/2012.

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	034-403	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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