Organization
BUCKHEAD SURGICAL SERVICES, L.P.
Active
Other names
Buckhead Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DON LIEDTKE (VICE PRESIDENT)
(615) 344-5507
Entity
Organization
Contact information
Practice address
3200 DOWNWOOD CIR NW, SUITE 400, ATLANTA, GA 30327-1610
(404) 351-0500
(404) 352-0015
Mailing address
3200 DOWNWOOD CIR NW, SUITE 400, ATLANTA, GA 30327-1610
(404) 351-0500
(404) 352-0015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060249
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00963399A
—
GA
Enumeration date
04/07/2006
Last updated
10/22/2007
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