Organization
PREMIER SURGICAL PAVILION OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E JONES MD (OWNER)
(212) 223-0716
Entity
Organization
Contact information
Practice address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(212) 223-0716
Mailing address
PO BOX 1970, NEW YORK, NY 10156-1970
(212) 223-0716
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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