Organization
EAGLES LANDING SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN WALL RN (REGISTERED NURSE)
(770) 389-1962
Entity
Organization
Contact information
Practice address
245 VILLAGE CENTER PKWY, SUITE 100, STOCKBRIDGE, GA 30281-9096
(770) 389-1962
(770) 389-0494
Mailing address
245 VILLAGE CENTER PKWY, SUITE 100, STOCKBRIDGE, GA 30281-9096
(770) 389-1962
(770) 389-0494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
034109
GA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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