Organization
ISPM ASC AT CAMP CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN J FOLWER MD (OWNER)
(770) 929-9033
Entity
Organization
Contact information
Practice address
3885 PRINCETON LAKES WAY SW, SUITE 400, ATLANTA, GA 30331-5589
(770) 929-9033
(770) 929-9092
Mailing address
PO BOX 11407 DEPT 2330, BIRMINGHAM, AL 35246-2330
(770) 929-9033
(770) 929-9092
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
02/20/2020
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