Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1144607862 |
| LBN Legal business name | DEKALB SURGICAL SERVICES, LLC |
| Authorized official | GEORGE NEAL - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/01/2015 |
| Last updated | 02/05/2020 - About 6 years ago |
| Identifiers | n/a |
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DEKALB SURGICAL SERVICES, LLC
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