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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SOUTHERN SURGICAL GROUP, LLC

NPI Number 1376977884
LBN Legal business name SOUTHERN SURGICAL GROUP, LLC
Authorized official TREVOR POOLE - (M.D)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2013
Last updated 09/03/2013 - About 13 years ago
Identifiers
SC License # 186449
SC Other 1891743159 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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