Healthcare Provider Details

I. General information

NPI: 1295714962
Provider Name (Legal Business Name): SCHULZE SURGERY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 E 67TH ST
SAVANNAH GA
31405-4608
US

IV. Provider business mailing address

728 E 67TH ST
SAVANNAH GA
31405-4608
US

V. Phone/Fax

Practice location:
  • Phone: 912-352-3120
  • Fax: 912-352-1405
Mailing address:
  • Phone: 912-352-3120
  • Fax: 912-352-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLYN Y. PIERCE
Title or Position: ADMINISTRATOR
Credential:
Phone: 912-352-3120