Southwest Surgical Associates, Pc

LBN: Southwest Surgical Associates, Pc
Southwest Surgical Associates, Pc is an health care organization with primary practice located at 311 Peachtree St , Jesup GA 31545-0245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Southwest Surgical Associates, Pc can be contacted via phone (912) 427-9169, or through Williams, Reginald Antonio via phone (404) 354-1983.

Contact Information

Primary practice address
311 Peachtree St Jesup GA 31545-0245
Phone: (912) 427-9169
Fax: (912) 427-9171
Website:
Map and Directions
Authorized official contact:
Name: Williams, Reginald Antonio Doctor of Medicine (MD)
Phone: (404) 354-1983

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1720392129
LBN Legal business name Southwest Surgical Associates, Pc
DBA Doing business as
Authorized official Williams, Reginald Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Apr 27th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720392129 NPPES
Georgia MEDICAID 64061377

Popular Providers