Provider Demographics
NPI:1134589054
Name:APEX SURGERY CENTER, LLC
Entity type:Organization
Organization Name:APEX SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:912-265-9006
Mailing Address - Street 1:3243 GLYNN AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-7040
Mailing Address - Country:US
Mailing Address - Phone:912-574-3660
Mailing Address - Fax:912-265-9697
Practice Address - Street 1:3243 GLYNN AVE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4851
Practice Address - Country:US
Practice Address - Phone:912-574-3660
Practice Address - Fax:912-265-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA52148261QA1903X
GA67817261QA1903X
GA50358261QA1903X
GA31480261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical