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

Southern Surgical & Medical, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1003840927

Southern Surgical & Medical, Inc is a Durable Medical Equipment & Medical Supplies in Locust Grove, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

95 Pine Grove Dr
Locust Grove, GA 30248-2561
Phone: (404) 519-7224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 423450 (GA)

Record details

NPI number1003840927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Wallace — President · (404) 519-7224
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1220 Old Jackson Rd, Locust Grove, GA 30248-2120

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