EVANS PROCEDURE CENTER LLC NPI 1518279504

NPI Information

NPI: 1518279504
Provider Name: EVANS PROCEDURE CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2277853

Address:
404 TOWN PARK BOULEVARD
EVANS, GA
ZIP 30809
Phone: (706) 922-7246
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EVANS PROCEDURE CENTER, LLC is an ambulatory surgical clinic center in Evans, GA. EVANS PROCEDURE CENTER, LLC NPI is 1518279504. The provider is registered as an organization entity type.

The provider's business location address is:

404 TOWN PARK BOULEVARD
EVANS, GA
ZIP 30809
Phone: (706) 922-7246
Fax: (706) 922-7247

The provider's authorized official is Hemant Yagnick .
The authorized official title is Director and has the following contact phone number (706) 284-5361.

The CLIA number assigned to this NPI record is 11D2277853 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2010 and was last updated on 7/8/2010.

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	055321	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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