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SOUTHERN SURGICAL, PA
NPI 1699859355
Specialist in Little River, SC

Active since October 25, 2006
3600 SEA MOUNTAIN HWY, SUITE A, LITTLE RIVER, SC 29566(843) 399-9774(843) 399-8657 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Surgical, Pa NPPES

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

SOUTHERN SURGICAL, PA (NPI 1699859355) is a healthcare organization registered as a specialist in Little River, South Carolina and active in the NPI registry since October 2006. The organization lists Wilma F Pond, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699859355
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN SURGICAL, PA
Location Address3600 SEA MOUNTAIN HWY, SUITE ALittle River, SC 29566-8161
Mailing AddressPo Box 599Loris, SC 29569-0599 · (843) 399-9774 · Fax (843) 399-8657
Phone(843) 399-9774
Fax(843) 399-8657
Organization SubpartNo
Authorized OfficialWilma F PondOffice Manager · (843) 399-9774
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 25, 2011
✔ NPI 1699859355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
3600 SEA MOUNTAIN HWY, Little River, SC 29566
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Other Identifiers 3

Medicaid890625VNC
Medicare ID-Type Unspecified5067Medicare Provider Number
MedicaidGP1384SC

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATERWAY PRIMARY CARE,LLC
Family Medicine
3600 SEA MOUNTAIN HWY
LITTLE RIVER, SC 29566
Horry County (843) 399-4848
SOUTHERN SURGICAL GROUP, LLC
Surgery
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9095
MELANIE A HOPKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
3600 SEA MOUNTAIN HWY
LITTLE RIVER, SC 29566
Horry County (843) 399-8930
DR. KENNETH H. MINCEY MD
Surgery
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9774
TIMOTHY ANDREW GAJEWSKI MD
Urology
3600 SEA MOUNTAIN HWY, SUITE B
LITTLE RIVER, SC 29566
Horry County (843) 399-9696

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 Southern Surgical, PA's NPI number?

The NPI number for Southern Surgical, PA is 1699859355. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Southern Surgical, PA located?

Southern Surgical, PA is located at 3600 Sea Mountain Hwy Suite A, Little River, SC 29566. The listed phone number is (843) 399-9774.

What is Southern Surgical, PA'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 Southern Surgical, PA was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.