NPI age
10 years
Enumerated 2016-05-12
● Active Type 2 · Organization
Subpart
Ent Of South Georgia Surgery Center Llc
Ent Of South Georgia Surgery Center Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
President
Last NPPES update
2017-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
2805 N Oak St
Valdosta, GA 316025922
Mailing address
2805 N Oak St
Valdosta, GA 316025922
Authorized official
Ronald V Allen
President
📞 2292442562
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000655146A | |
| 05 (GA) | 000834589A | |
| 05 (GA) | 000946668A |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Ear, Nose, Throat And Allergy Associates Of South Georgia Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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