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

Southern Surgical Providers, PC

Organization Surgery Physician · NPI 1619203809

Southern Surgical Providers, PC is a Surgery Physician in Springfield, Georgia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

459 Highway 119 S
Springfield, GA 31329-3021
Phone: (912) 754-0382
Fax: (912) 754-0382
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1619203809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Wynn — President · (912) 754-0382
NPI enumeratedOctober 23, 2009
Last updated in NPPESSeptember 28, 2024
Certification dateSeptember 28, 2024
Mailing address459 Highway 119 S, Springfield, GA 31329-3021

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