Organization
MILTON HALL SURGICAL ASSOCIATES, LLC
Active
Parent organization
MILTON HALL SURGICAL ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILTON HALL SURGICAL ASSOCIATES, LLC
Authorized official
JEFFREY GALLUPS MD (MEDICAL DIRECTOR)
(770) 740-1860
Entity
Organization
Contact information
Practice address
3330 PRESTON RIDGE RD, SUITE 240, ALPHARETTA, GA 30005-4508
(770) 740-1860
Mailing address
2980 N BEVERLY GLEN CIR, SUITE # 301, LOS ANGELES, CA 90077-1726
(310) 943-4180
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
58959
GA
Other
Enumeration date
12/22/2014
Last updated
11/08/2018
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