Organization
ARC OF GEORGIA, LLC
Active
Other names
Premier Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
3243 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 264-9029
(912) 264-1085
Mailing address
3243 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 264-9029
(912) 264-1085
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
K826642
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000828517A
—
GA
Enumeration date
09/18/2005
Last updated
09/29/2020
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