Organization
ENT SURGICAL CENTER OF CENTRAL GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAIN DANIEL TOLAND D.O. (MEDICAL DIRECTOR)
(478) 923-0106
Entity
Organization
Contact information
Practice address
1719 RUSSELL PKWY, BLDG 300, SUITE 301, WARNER ROBINS, GA 31088-5763
(478) 923-0106
(478) 922-5211
Mailing address
1719 RUSSELL PKWY, BLDG 300, SUITE 301, WARNER ROBINS, GA 31088-5763
(478) 923-0106
(478) 922-5211
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
076116
GA
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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