# WINDWARD SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538495742
- **Authorized official:** ESTEBAN GUADERRAMA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 844-3242

## Contact information

- **Practice address:** 12425 MORRIS ROAD, SUITE B, ALPHARETTA, GA 30005-4125
- **Practice address phone:** (770) 844-3242
- **Practice address fax:** (678) 325-2919
- **Mailing address:** PO BOX 420709, ATLANTA, GA 30342-0709
- **Mailing address phone:** (770) 844-3242
- **Mailing address fax:** (678) 325-2919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 031835 | GA | Yes |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 06/09/2021