Organization
NEWTON ROCKDALE AMBULATORY SURGERY CENTER
Active
Other names
Pulliam Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS MICHAEL PULLIAM M.D. (MEDICAL DIRECTOR)
(770) 786-1234
Entity
Organization
Contact information
Practice address
4167 HOSPITAL DR NE, COVINGTON, GA 30014-2565
(770) 786-1234
(770) 385-0813
Mailing address
PO BOX 469, COVINGTON, GA 30015-0469
(770) 786-1234
(770) 385-0813
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
122-036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000420802A
—
GA
01
—
490002755
RRR MEDICARE #
GA
01
—
51001066001
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/26/2005
Last updated
10/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us