Organization
ATLANTA SURGERY CENTER, LTD
Active
Other names
Atlanta Peachtree Dunwoody Center
Organization subpart
No
Provider details
NPI number
Authorized official
DON LIEDTKE (VICE PRESIDENT)
(615) 344-5507
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 150, ATLANTA, GA 30342-1705
(404) 847-0893
(404) 843-8664
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 150, ATLANTA, GA 30342-1705
(404) 847-0893
(404) 843-8664
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374162A
—
GA
Enumeration date
04/18/2006
Last updated
05/22/2012
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