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Organization

INNOVATIVE AMBULATORY SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSCAR JAMESON STOKES M.D. (CHIEF EXECUTIVE OFFICER)
(323) 316-8090
Entity
Organization

Contact information

Practice address
1300 UPPER HEMBREE RD, BUILDING 100, SUITE B, ROSWELL, GA 30076-0927
(888) 232-8724
Mailing address
129 MORNING VISTA DR, MADISON, AL 35758-8008
(323) 316-8090

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
066905
AL

Other

Enumeration date
11/11/2012
Last updated
11/11/2012
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