Organization
HEMLOCK AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN N TAFOR M.D. (CEO)
(478) 745-2385
Entity
Organization
Contact information
Practice address
101 PRESTON CT STE 104, MACON, GA 31210-5771
(478) 745-2385
(478) 745-1225
Mailing address
101 PRESTON CT STE 104, MACON, GA 31210-5771
(478) 745-2385
(478) 745-1225
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
011-473
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132720A
—
GA
Enumeration date
09/05/2012
Last updated
07/22/2013
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