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SOQUE SURGICAL, LLC
NPI 1083892475
Specialist in Domorest, GA

Active since February 07, 2008
855 AUSTIN DRIVE, DOMOREST, GA 30535(706) 754-8339(706) 754-8460 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soque Surgical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOQUE SURGICAL, LLC (NPI 1083892475) is a healthcare organization registered as a specialist in Domorest, Georgia and active in the NPI registry since February 2008. The organization lists Jenny Onkham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083892475
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOQUE SURGICAL, LLC
Location Address855 AUSTIN DRIVEDomorest, GA 30535
Mailing AddressPo Box 1660Clarkesville, GA 30523-0028 · (706) 754-8339 · Fax (706) 754-8460
Phone(706) 754-8339
Fax(706) 754-8460
Organization SubpartNo
Authorized OfficialJenny OnkhamOffice Manager · (706) 754-8339
Enumeration DateFebruary 7, 2008
✔ NPI 1083892475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 53989
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
855 AUSTIN DRIVE, Domorest, GA 30535
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Other Identifiers 2

Medicare PINGRP6242GA
Medicare UPING49843GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soque Surgical, LLC's NPI number?

The NPI number for Soque Surgical, LLC is 1083892475. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is Soque Surgical, LLC located?

Soque Surgical, LLC is located at 855 Austin Drive, Domorest, GA 30535. The listed phone number is (706) 754-8339.

What is Soque Surgical, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Soque Surgical, LLC was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.