Organization
ADVANCED GYNECOLOGIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON B ASHFORD MD (PRESIDENT)
(706) 248-6860
Entity
Organization
Contact information
Practice address
1000 HAWTHORNE AVE, SUITE V, ATHENS, GA 30606-2168
(706) 248-6860
Mailing address
1000 HAWTHORNE AVE, SUITE V, ATHENS, GA 30606-2168
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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