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

South County Surgical Services, LLC

Organization Specialist · NPI 1174615710

South County Surgical Services, LLC is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10004 Kennerly Rd Ste 137A
Saint Louis, MO 63128-2141
Phone: (314) 525-4740
Fax: (314) 525-4741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R6D37 (MO)

Record details

NPI number1174615710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Parciak — Office Manager · (314) 432-2580
NPI enumeratedSeptember 29, 2006
Last updated in NPPESSeptember 18, 2008
Mailing addressPo Box 1209, Maryland Heights, MO 63043-0209

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