# MILTON HALL SURGICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILTON HALL SURGICAL ASSOCIATES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124416367
- **Legal business name:** MILTON HALL SURGICAL ASSOCIATES, LLC
- **Authorized official:** JEFFREY GALLUPS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (770) 740-1860

## Contact information

- **Practice address:** 3330 PRESTON RIDGE RD, SUITE 240, ALPHARETTA, GA 30005-4508
- **Practice address phone:** (770) 740-1860
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE \# 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 943-4180
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 58959 | GA | Yes |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 11/08/2018