Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Medical Specialty |
261QM2500X |
| NPI # | 1508862947 |
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| LBN Legal business name | DIXIE SURGERY CENTER, INC | ||||
| Authorized official | JASON AHEE - (MEDICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/21/2005 | ||||
| Last updated | 11/08/2007 - About 19 years ago | ||||
| Identifiers |
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DIXIE SURGERY CENTER, INC
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