Organization
CLAYTON OUTPATIENT SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY KALISH DPM (MEDICAL DIRECTOR)
(770) 477-9535
Entity
Organization
Contact information
Practice address
6911 TARA BLVD, SUITE 104, JONESBORO, GA 30236-1503
(770) 477-9535
(770) 471-7826
Mailing address
6911 TARA BLVD, SUITE 104, JONESBORO, GA 30236-1503
(770) 477-9535
(770) 471-7826
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
031-070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00649833A
—
GA
01
—
490002632
RAILROAD MEDICARE
GA
Enumeration date
06/30/2005
Last updated
08/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us