Organization
ORTHOPEDIC SOUTH SURGICAL PARTNERS, LLC
Active
Other names
Orthopaedic South Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(469) 250-3640
Entity
Organization
Contact information
Practice address
156 FOSTER DR STE A, MCDONOUGH, GA 30253-5330
(678) 422-4230
Mailing address
156 FOSTER DR STE A, MCDONOUGH, GA 30253-5330
(678) 422-4230
(678) 422-4287
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
031-274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00084312
RAILROAD MEDICARE
GA
Enumeration date
07/01/2005
Last updated
10/15/2024
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