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

Southern Surgery Center LLC

Organization Anesthesiology Physician · NPI 1639326994

Southern Surgery Center LLC is an Anesthesiology Physician in Lagrange, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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

1805 Vernon Rd Ste C
Lagrange, GA 30240-3871
Phone: (706) 812-9902
Fax: (706) 812-0802
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1639326994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pat Thompson — Bom · (706) 812-9902
Other names Southern Surgery Center Anesthesia Group
NPI enumeratedAugust 19, 2008
Last updated in NPPESJune 22, 2010
Mailing address1805 Vernon Rd, Suite C, Lagrange, GA 30240-3871

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