Soque Surgical, LLC
Specialist · Domorest, GA
Practice location
855 Austin DriveDomorest, GA 30535
- Phone
- (706) 754-8339
- Fax
- (706) 754-8460
NPI record
- NPI
- 1083892475
- Entity type
- Organization (Type 2)
- Enumeration date
- February 7, 2008
- Last updated
- February 7, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
53989 | GA |
Mailing address
PO Box 1660Clarkesville, GA 30523-0028
- Phone
- (706) 754-8339
- Fax
- (706) 754-8460
Authorized official
- Name
- Jenny Onkham
- Title
- Office Manager
- Phone
- (706) 754-8339
About Soque Surgical, LLC
Soque Surgical, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 855 Austin Drive, Domorest, GA 30535. The NPI number 1083892475 was assigned on February 7, 2008 and the record was last updated on February 7, 2008.
Soque Surgical, LLC lists a license in the registry: #53989 (GA) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Jenny Onkham, Office Manager.
Frequently asked questions
What is the NPI number of Soque Surgical, LLC?
The NPI number is 1083892475.
What is the phone number of Soque Surgical, LLC?
The phone number listed for the practice location is (706) 754-8339.
Where is Soque Surgical, LLC located?
855 Austin Drive, Domorest, GA 30535.
What is the taxonomy code for Soque Surgical, LLC?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.