Organization
RSPS FAYETTEVILLE ASC LLC
Active
Other names
RSPS Fayetteville ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZWADE MARSHALL MD (OWNER)
(404) 618-0995
Entity
Organization
Contact information
Practice address
874 LANIER AVE W STE 260, FAYETTEVILLE, GA 30214-7669
(404) 618-0995
(404) 618-0995
Mailing address
874 LANIER AVE W STE 260, FAYETTEVILLE, GA 30214-7669
(404) 618-0995
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
12/07/2021
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