Organization
MY CONCIERGE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD IBN NURIDDIN M.D. (CEO)
(404) 754-0922
Entity
Organization
Contact information
Practice address
1233 SPRING PARK DR SW, ATLANTA, GA 30311-2410
(404) 754-0922
(404) 756-2444
Mailing address
1233 SPRING PARK DR SW, ATLANTA, GA 30311-2410
(404) 754-0922
(404) 756-2444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055150
GA
Other
Enumeration date
02/14/2015
Last updated
02/14/2015
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