Organization
NORTHWEST PLAZA ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE D. DIXON (CHIEF OPERATING OFFICER)
(229) 435-0525
Entity
Organization
Contact information
Practice address
2311 LAKE PARK DR, SUITE 4, ALBANY, GA 31707-3183
(229) 435-0525
(229) 434-9827
Mailing address
2311 LAKE PARK DR, SUITE 4, ALBANY, GA 31707-3183
(229) 435-0525
(229) 434-9827
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
35890
GA
Other
Enumeration date
03/01/2007
Last updated
02/28/2017
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