SOUTH GEORGIA SURGERY CENTER, LLC
Ambulatory Health at Isabella St, Waycross, GA

License number
Georgia 111252ASCA
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MICHAEL J LUPI DO
Title: OWNER
Phone: (912) 267-9000
Address
Address
306 Isabella St, Waycross, GA 31501
National Provider ID: 1952412413
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH GEORGIA SURGERY CENTER, LLC

306 Isabella St, Waycross, GA 31501

Industry:
Medical Doctor's Office
Registration:
Apr 29, 2004
State ID:
0427650
Business type:
Domestic Limited Liability Company
Owners:
Catherine Beal (Member),Michael Lupi (Owner)
Agent:
Joseph R. Odachowski,300 Oak St, Saint Simons Island, GA (Physical)

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