Organization
ENTI SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H LLOYD MD (OWNER)
(770) 740-1860
Entity
Organization
Contact information
Practice address
1595 HIGHWAY 34 E, NEWNAN, GA 30265-2353
(770) 740-1860
(678) 347-2104
Mailing address
1595 HIGHWAY 34 E, NEWNAN, GA 30265-2353
(678) 206-2494
(678) 347-2104
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
038-504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-504
CMS HEALTHCARE FACILITY PROVIDER NUMBER
GA
Enumeration date
05/20/2014
Last updated
10/23/2023
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