INNOVATIVE AMBULATORY SURGERY CENTER NPI 1437493681

NPI Information

NPI: 1437493681
Provider Name: INNOVATIVE AMBULATORY SURGERY CENTER
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1300 UPPER HEMBREE RD
BUILDING 100, SUITE B
ROSWELL, GA
ZIP 30076
Phone: (888) 232-8724
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INNOVATIVE AMBULATORY SURGERY CENTER is a pain clinic center in Roswell, GA. INNOVATIVE AMBULATORY SURGERY CENTER NPI is 1437493681. The provider is registered as an organization entity type.

The provider's business location address is:

1300 UPPER HEMBREE RD
BUILDING 100, SUITE B
ROSWELL, GA
ZIP 30076-927
Phone: (888) 232-8724

The provider's authorized official is Oscar Jameson Stokes .
The authorized official title is Chief Executive Officer and has the following contact phone number (323) 316-8090.

The enumeration date for this NPI number is 11/11/2012 and was last updated on 11/11/2012.

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	261QP3300X	Clinic/Center	Pain	066905	ALABAMA	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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