Organization
ATLAS SURGERY CENTER OF BUCKHEAD, INC
Active
Other names
Roderique Surgi-Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BASILLE (OWNER)
(678) 701-2225
Entity
Organization
Contact information
Practice address
2045 PEACHTREE RD NE STE T1, ATLANTA, GA 30309-1405
(786) 701-2225
(678) 412-1672
Mailing address
PO BOX 673363, MARIETTA, GA 30006-0057
(678) 701-2225
(678) 412-1672
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060-096
GA
Other
Enumeration date
03/09/2007
Last updated
04/01/2021
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