Organization
SALUBRIOUS ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WILLIAM RUBIN M.D. (OWNER)
(770) 516-7880
Entity
Organization
Contact information
Practice address
240 HERITAGE WALK, SUITE 101, WOODSTOCK, GA 30188-3875
(770) 516-7880
(770) 516-7870
Mailing address
240 HERITAGE WALK, SUITE101, WOODSTOCK, GA 30188-3875
(770) 516-7880
(770) 516-7870
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
208VP0014X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000440976Z
—
GA
Enumeration date
10/16/2013
Last updated
07/08/2025
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