Organization
NORTH CRESCENT SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C ZANE M.D. (CEO)
(404) 303-1224
Entity
Organization
Contact information
Practice address
11975 MORRIS RD, SUITE 160, ALPHARETTA, GA 30005-4419
(770) 360-9916
(770) 360-9937
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060-297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111248ASCA
CMS PIN
GA
Enumeration date
08/07/2006
Last updated
08/09/2013
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