# GARDENDALE SURGICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1730318353
- **Authorized official:** MS. KRISTEN OCONNOR (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 376-7315

## Contact information

- **Practice address:** 2213 DECATUR HIGHWAY, GARDENDALE, AL 35071-2301
- **Practice address phone:** (205) 418-6021
- **Practice address fax:** (205) 418-6025
- **Mailing address:** 2213 DECATUR HIGHWAY, GARDENDALE, AL 35071
- **Mailing address phone:** (205) 418-6021
- **Mailing address fax:** (205) 418-6025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 10/07/2024