Organization
NOVAMED MANAGEMENT SERVICES LLC
Active
Other names
Atlanta Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3200 DOWNWOOD CIR NW, SUITE 200, ATLANTA, GA 30327-1610
(404) 355-8721
(404) 355-8797
Mailing address
3200 DOWNWOOD CIR NW, SUITE 200, ATLANTA, GA 30327-1610
(404) 355-8721
(404) 355-8797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ6432
RR MEDICARE
—
Enumeration date
08/23/2005
Last updated
03/31/2023
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