Organization
GRAIVIER SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA IANNAMICO RN (ADMINISTRATOR)
(770) 772-0695
Entity
Organization
Contact information
Practice address
3333 OLD MILTON PKWY STE 260, ALPHARETTA, GA 30005-4626
(770) 772-0695
Mailing address
3333 OLD MILTON PKWY STE 260, ALPHARETTA, GA 30005-4626
(770) 772-0695
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
08/11/2021
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