Organization
JOHNS CREEK PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNETTA JANENE HOLLADAY MD (OWNER)
(706) 549-8114
Entity
Organization
Contact information
Practice address
6920 MCGINNIS FERRY RD, SUITE A, SUWANEE, GA 30024-6672
(706) 549-8114
Mailing address
PO BOX 80507, ATHENS, GA 30608-0507
(706) 549-8114
(706) 549-7558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
10/17/2016
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