Healthcare Provider Details

I. General information

NPI: 1780670984
Provider Name (Legal Business Name): SURGERY CONSULTANTS OF DECATUR, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1874 BELTLINE RD SW SUITE 100
DECATUR AL
35601-5514
US

IV. Provider business mailing address

1874 BELTLINE RD SW SUITE 100
DECATUR AL
35601-5514
US

V. Phone/Fax

Practice location:
  • Phone: 256-351-9445
  • Fax: 256-351-9465
Mailing address:
  • Phone: 256-351-9445
  • Fax: 256-351-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM JAY SUGGS
Title or Position: OWNER
Credential: MD
Phone: 256-351-9445