Organization
AXIS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRESH VITHAL VIRADIA MD (OWNER)
(478) 971-4001
Entity
Organization
Contact information
Practice address
230 SHERATON BLVD, STE B, MACON, GA 31210
(478) 474-2947
(478) 971-4004
Mailing address
100 JIM MASON CT, STE A, WARNER ROBINS, GA 31088-8965
(478) 474-2947
(478) 971-4004
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/21/2022
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