Organization
GEORGIA AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIAN JIMENEZ DPM (MEDICAL DIRECTOR)
(770) 979-0900
Entity
Organization
Contact information
Practice address
2175 NORTH RD, SNELLVILLE, GA 30078-2630
(770) 979-0900
(770) 979-2852
Mailing address
PO BOX 527, SNELLVILLE, GA 30078-0527
(770) 979-0900
(770) 979-2852
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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