Organization
MODERNA SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHAIR GHAZI MD (OWNER/ PRESIDENT)
(404) 931-4915
Entity
Organization
Contact information
Practice address
12425 MORRIS RD STE B, ALPHARETTA, GA 30005-4137
(404) 255-2975
Mailing address
12425 MORRIS RD STE B, ALPHARETTA, GA 30005-4137
(404) 255-2975
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
02/10/2026
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