RSPS FAYETTEVILLE ASC LLC NPI 1750905618

NPI Information

NPI: 1750905618
Provider Name: RSPS FAYETTEVILLE ASC LLC

Doing Business As: RSPS FAYETTEVILLE ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
874 LANIER AVE W STE 260
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 618-0995
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RSPS FAYETTEVILLE ASC LLC is an ambulatory surgical clinic center in Fayetteville, GA. RSPS FAYETTEVILLE ASC LLC NPI is 1750905618. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rsps Fayetteville Asc.

The provider's business location address is:

874 LANIER AVE W STE 260
FAYETTEVILLE, GA
ZIP 30214-669
Phone: (404) 618-0995
Fax: (404) 618-0995

The provider's authorized official is Zwade Marshall .
The authorized official title is Owner and has the following contact phone number (404) 618-0995.

The CLIA number assigned to this NPI record is 11D2187806 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 12/7/2021.

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	207LP2900X	Anesthesiology	Pain Medicine			No
2	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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