RIVERSIDE SURGERY CENTER LLC NPI 1609257310

NPI Information

  • NPI: 1609257310
  • Provider Name: RIVERSIDE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE SURGERY CENTER
  • Address: 3556 RIVERSIDE DR
    MACON, GA
    ZIP 31210
  • Phone: (478) 475-9204

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NPI Details

RIVERSIDE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Macon, GA. RIVERSIDE SURGERY CENTER, LLC NPI is 1609257310. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Surgery Center.

The provider's business location address is:

3556 RIVERSIDE DR
MACON, GA
ZIP 31210-509
Phone: (478) 475-9204
Fax: (478) 475-9572

The provider's authorized official is Jana Sue Taylor .
The authorized official title is Credentialing Specialist and has the following contact phone number (678) 426-2188.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 7/13/2015.

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
1261QA1903XClinic/CenterAmbulatory SurgicalGEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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