Organization
SURGICAL CENTER FOR UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIS L CRAIG (CHIEF ADMINISTRATIVE OFFICER)
(770) 474-5281
Entity
Organization
Contact information
Practice address
180 N PARK TRL STE 200, STOCKBRIDGE, GA 30281-7372
(678) 565-1806
(678) 565-1904
Mailing address
180 N PARK TRL STE 200, STOCKBRIDGE, GA 30281-7372
(678) 565-1806
(678) 565-1904
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/16/2024
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