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Contact Information

SOUTHERN SURGERY SPECIALISTS, LLC
408 JACKSON AVE E
HAMPTON, SC29924
 Phone: 803-943-4003
 Fax: 803-943-4701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHERN SURGERY SPECIALISTS LLC · (Female)

NPI # 1801991849
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 11/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 23479
  • SC Medicaid 234794
  • Other 1588613103 PROVIDER NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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