LAURUS SURGICAL L.L.C NPI 1609065903

NPI Information

NPI: 1609065903
Provider Name: LAURUS SURGICAL, L.L.C
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1388A WELLBROOK CIR NE
CONYERS, GA
ZIP 30012
Phone: (770) 929-9033
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LAURUS SURGICAL, L.L.C is an ambulatory surgical clinic center in Conyers, GA. LAURUS SURGICAL, L.L.C NPI is 1609065903. The provider is registered as an organization entity type.

The provider's business location address is:

1388A WELLBROOK CIR NE
CONYERS, GA
ZIP 30012-872
Phone: (770) 929-9033
Fax: (770) 929-9909

The provider's authorized official is Robin James Fowler .
The authorized official title is Owner and has the following contact phone number (770) 929-9033.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 9/2/2008.

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			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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