Organization
FORSYTH SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CAROL JACKSON MD (OWNER)
(770) 889-7465
Entity
Organization
Contact information
Practice address
634 PEACHTREE PKWY, STE. 100, CUMMING, GA 30041-9782
(770) 889-7465
(770) 781-9369
Mailing address
634 PEACHTREE PKWY, STE. 100, CUMMING, GA 30041-9782
(770) 889-7465
(770) 781-9369
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
058148
GA
Other
Enumeration date
05/07/2007
Last updated
05/12/2008
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