PREMIER SURGICAL PAVILION OF ATLANTA LLC is an ambulatory surgical clinic center in Atlanta, GA. PREMIER SURGICAL PAVILION OF ATLANTA LLC NPI is 1104301274. The provider is registered as an organization entity type.
The provider's business location address is:
1 BALTIMORE PL NW STE 400
ATLANTA, GA
ZIP 30308-117
Phone: (212) 223-0716
The provider's authorized official is Michael E Jones .
The authorized official title is Owner and has the following contact phone number (212) 223-0716.
The CLIA number assigned to this NPI record is 11D0977113 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/25/2018 and was last updated on 9/25/2018.