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Organization
GLL CENTER, LLC
Active
Organization
GLL CENTER, LLC
Active
Other names
GLL Center, LLC, GLL Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ASHLEY (PRACTICE MANAGER)
(904) 874-9709
Entity
Organization
Contact information
Practice address
1601 HWY 40 E STE M237, KINGSLAND, GA 31548-6500
(904) 874-9709
Mailing address
PO BOX 739472, DALLAS, TX 75373-9472
(904) 874-9709
(904) 650-2911
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
08/26/2026
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