NPI:
1538168471
Provider Name:
ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE SURGERY, LLC
Doing Business As: ATLANTA CENTER FOR FOOT & ANKLE SURGERY, LLC
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
CLIA Number: 11D0967217
Address:
218 SANDY SPRINGS PL NE
ATLANTA, GA
ZIP 30328
Phone:
(404) 257-0611
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ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE SURGERY, LLC is an ambulatory surgical clinic center in Atlanta, GA. ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE SURGERY, LLC NPI is 1538168471. The provider is registered as an organization entity type.
The provider Is Doing Business As Atlanta Center For Foot & Ankle Surgery, Llc.
The provider's business location address is:
218 SANDY SPRINGS PL NE
ATLANTA, GA
ZIP 30328-812
Phone: (404) 257-0611
Fax: (404) 257-1289
The provider's authorized official is Portia G Walker .
The authorized official title is Administrator and has the following contact phone number (404) 257-0611.
The CLIA number assigned to this NPI record is 11D0967217 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/20/2005 and was last updated on 8/22/2020.