Organization
LAURUS SURGICAL, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN JAMES FOWLER MD (OWNER)
(770) 929-9033
Entity
Organization
Contact information
Practice address
1388A WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 929-9033
(770) 929-9909
Mailing address
1388 WELLBROOK CIR NE, SUITE A, CONYERS, GA 30012-3872
(770) 929-9033
(770) 929-9092
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
09/02/2008
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