Organization
THE EMORY CLINIC INC
Active
Other names
The Emory Clinic LaGrange Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BRUNN (COO)
(404) 778-5639
Entity
Organization
Contact information
Practice address
1805 VERNON RD, SUITE C, AMBULATORY SURGERY CENTER, LAGRANGE, GA 30240-3871
(706) 812-9902
Mailing address
1365 CLIFTON RD NE, BUILDING A, 5TH FLOOR CLINIC ADMINISTRATION, ATLANTA, GA 30322-1013
(404) 778-5639
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
141136
GA
Other
Enumeration date
08/02/2011
Last updated
03/14/2022
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