Organization
ATLANTA ADVANCED SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE J HERNANDEZ (VP ADMINISTRATIVE SERVICES, CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 150, ATLANTA, GA 30342-1705
(404) 851-8000
(404) 845-5624
Mailing address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 845-5624
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
05/02/2012
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