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WEST PACES SURGERY CENTER LLC NPI 1992192488


NPI Information

NPI: 1992192488
Provider Name: WEST PACES SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2097499

Address:
3200 DOWNWOOD CIR NW
SUITE 400
ATLANTA, GA
ZIP 30327
Phone: (404) 969-7614
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WEST PACES SURGERY CENTER LLC is an ambulatory surgical clinic center in Atlanta, GA. WEST PACES SURGERY CENTER LLC NPI is 1992192488. The provider is registered as an organization entity type.

The provider's business location address is:

3200 DOWNWOOD CIR NW
SUITE 400
ATLANTA, GA
ZIP 30327-610
Phone: (404) 969-7614

The provider's authorized official is Lee Anne Blackwell .
The authorized official title is Management and has the following contact phone number (205) 602-6488.

The CLIA number assigned to this NPI record is 11D2097499 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2015 and was last updated on 8/17/2017.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

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