Organization
PEDIATRIC AND ADULT SURGERY CENTER OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHATUL PARIKH MD (MEDICAL DIRECTOR)
(678) 483-8833
Entity
Organization
Contact information
Practice address
2061 PEACHTREE RD NE STE 300-A, ATLANTA, GA 30309-1447
(678) 483-8833
Mailing address
960 WOODSTOCK PKWY STE 101, WOODSTOCK, GA 30188-4866
(678) 483-8833
(678) 483-8809
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
055430
GA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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