Organization
THE GEORGIA SURGERY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LARUE C.S.A. (C.E.O./OWNER)
(470) 306-1985
Entity
Organization
Contact information
Practice address
890 ATLANTA ST, STE 161, ROSWELL, GA 30075-4456
(470) 306-1985
Mailing address
890 ATLANTA ST, STE 161, ROSWELL, GA 30075-4456
(470) 306-1985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
037519
GA
Other
Enumeration date
01/08/2007
Last updated
10/25/2016
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