Organization
GEORGIA SURGICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER IBIKUNLE MD (CEO)
(678) 466-6760
Entity
Organization
Contact information
Practice address
367 ATHENS HWY, BUILDING 100 SUITE 100A, LOGANVILLE, GA 30052-2204
(678) 466-6760
(678) 802-7094
Mailing address
367 ATHENS HWY, BUILDING 100 SUITE 100A, LOGANVILLE, GA 30052-2204
(678) 466-6760
(678) 802-7094
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
03/20/2015
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