Organization
APEX MEDICAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIN G MITCHELL MD (OWNER)
(762) 323-1030
Entity
Organization
Contact information
Practice address
1075 LAFAYETTE PKWY STE 100, LAGRANGE, GA 30241-3507
(706) 443-5273
(762) 323-1014
Mailing address
1075 LAFAYETTE PKWY STE 100, LAGRANGE, GA 30241-3507
(706) 443-5273
(706) 443-5275
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003210036A
—
GA
Enumeration date
04/19/2016
Last updated
08/07/2019
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