National Provider Identifier Database

SOUTHERN SURGICAL GROUP LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SOUTHERN SURGICAL GROUP, LLC
3600 SEA MOUNTAIN HWY SUITE A
LITTLE RIVER, SC29566
Phone: 843-399-9095
Fax: 843-399-9098
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN SURGICAL GROUP, LLC

NPI Number 1376977884
Legal business name
LBN
SOUTHERN SURGICAL GROUP, LLC
Authorized official TREVOR POOLE - (M.D)
Entity Organization
Organization subpart No
Enumeration date 09/03/2013
Last updated 09/03/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 186449
  • SC Other: 1891743159 NPI

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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