GEORGIA SURGICAL CENTER ON PEACHTREE LLC NPI 1437250248

NPI Information

NPI: 1437250248
Provider Name: GEORGIA SURGICAL CENTER ON PEACHTREE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D0961724

Address:
2061 PEACHTREE RD NE STE 100
ATLANTA, GA
ZIP 30309
Phone: (404) 352-3522
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GEORGIA SURGICAL CENTER ON PEACHTREE, LLC is an ambulatory surgical clinic center in Atlanta, GA. GEORGIA SURGICAL CENTER ON PEACHTREE, LLC NPI is 1437250248. The provider is registered as an organization entity type.

The provider's business location address is:

2061 PEACHTREE RD NE STE 100
ATLANTA, GA
ZIP 30309-444
Phone: (404) 352-3522
Fax: (404) 601-1235

The provider's authorized official is Brenda Messick .
The authorized official title is Ceo and has the following contact phone number (678) 528-1418.

The CLIA number assigned to this NPI record is 11D0961724 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 12/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	077798LGB	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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