SURGERY CENTER OF BJI, LLC
Ambulatory Health at Professional Ct, Jesup, GA

License number
Georgia 30633
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. JOHN LEX KENERLY III M.D.
Title: PRESIDENT
Phone: (912) 427-0800
Address
Address
112 Professional Ct, Jesup, GA 31545
National Provider ID: 1881911451
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURGERY CENTER OF BJI, LLC

Jesup, GA

Status:
Inactive
Industry:
General Hospital
Registration:
Apr 15, 2009
Addresses:
112 Professional Ct, Jesup, GA 31598 (Physical)
PO Box 1334, Jesup, GA 31598
State ID:
09027135
Business type:
Domestic Limited Liability Company
Administrative Assistants:
Joh L. Kenerly Member, President, inactive,April Causer Administrative Assistant, inactive
Agent:
John Lex Kenerly,112 Professional Ct, Jesup, GA (Physical)

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