UROLOGICAL SURGICAL CENTER LLC
Ambulatory Health at Hickory St, Warner Robins, GA

License number
Georgia 052565
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MELVIN LEE CHRISTOPHER FUSSELL M.D.
Title: OWNER/BOARD CERTIFIED UROLOGIST
Phone: (478) 333-6961
Address
Address 2
102 Hickory St, Warner Robins, GA 31093
PO Box 5098, Cordele, GA 31010
National Provider ID: 1134497910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about UROLOGICAL SURGICAL CENTER LLC at bizstanding.com

UROLOGICAL SURGICAL CENTER LLC

102 Hickory St, Warner Robins, GA 31093

Registration:
Mar 22, 2011
State ID:
11023034
Business type:
Domestic Limited Liability Company
Agent:
Fussell, Melvin Lc,1770 Watson Blvd, Warner Robins, GA (Physical)

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