Organization
THE SURGERY CENTER OF GEORGIA, LLC
Active
Other names
Advanced Surgery Center of Georgia,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH GRADY R.N. (ADMINISTRATOR)
(770) 479-2202
Entity
Organization
Contact information
Practice address
220 HOSPITAL RD, CANTON, GA 30114-2407
(770) 479-2202
(770) 479-3891
Mailing address
220 HOSPITAL RD, CANTON, GA 30114-2407
(770) 479-2202
(770) 479-3891
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659733A
—
GA
01
—
1282933
UNITED HEALTHCARE
GA
Enumeration date
06/09/2005
Last updated
07/14/2008
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