Organization
PONCE DE LEON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY PATTERSON-SETTLES (PRACTICE ADMINISTRATOR)
(404) 343-2672
Entity
Organization
Contact information
Practice address
552 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1806
(404) 343-2672
Mailing address
552 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1806
(404) 343-2672
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
02/03/2017
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