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Organization

ATLANTA SURGICENTER FOR WOMENS CHOICE

Active
Parent organization
ATLANTA SURGICENTER FOR WOMENS CHOICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATLANTA SURGICENTER FOR WOMENS CHOICE
Authorized official
TYRONE C MALLOY MD (PRESIDENT AND CEO)
(404) 534-0035
Entity
Organization

Contact information

Practice address
1874 PIEDMONT ROAD, SUITE 570E, ATLANTA, GA 30324
(404) 347-9191
(404) 745-9041
Mailing address
PO BOX 33296, DECATUN, GA 30033-0296

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
023086
GA

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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