Organization
CENTER FOR RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALVAREZ DPM (VICE-PRESIDENT)
(770) 487-6716
Entity
Organization
Contact information
Practice address
7130 MOUNT ZION BLVD, SUITE 14, JONESBORO, GA 30236-2518
(770) 716-8732
(770) 716-1330
Mailing address
7130 MOUNT ZION BLVD, SUITE 14, JONESBORO, GA 30236-2518
(770) 716-8732
(770) 716-1330
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060-083
GA
Other
Enumeration date
06/17/2006
Last updated
08/10/2007
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