Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Surgical Providers, PC

Organization Specialist · NPI 1619398328

Southern Surgical Providers, PC provides Specialist services in Springfield, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

459 Highway 119 S Physician Ctr # 2
Springfield, GA 31329-3021
Phone: (912) 352-4490
Fax: (912) 352-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Specialist Taxonomy 174400000X · Licence 56939 (GA)

Record details

NPI number1619398328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R. Wynn — President · (912) 754-0382
NPI enumeratedDecember 23, 2013
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address7120 Hodgson Memorial Dr, Savannah, GA 31406-2532

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