Provider Demographics
NPI:1780670984
Name:SURGERY CONSULTANTS OF DECATUR, PC
Entity type:Organization
Organization Name:SURGERY CONSULTANTS OF DECATUR, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-351-9445
Mailing Address - Street 1:1874 BELTLINE RD SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5514
Mailing Address - Country:US
Mailing Address - Phone:256-351-9445
Mailing Address - Fax:256-351-9465
Practice Address - Street 1:1874 BELTLINE RD SW
Practice Address - Street 2:SUITE 100
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5514
Practice Address - Country:US
Practice Address - Phone:256-351-9445
Practice Address - Fax:256-351-9465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALK301Medicare ID - Type UnspecifiedMEDICARE