Organization
HEATHROW SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE BROWN DAVIS (VP)
(916) 990-7590
Entity
Organization
Contact information
Practice address
942 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5219
(404) 953-4095
(404) 410-1211
Mailing address
5775 GLENRIDGE DR STE 500, ATLANTA, GA 30328-5380
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
02/10/2025
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