Organization
ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC
Active
Other names
Atlanta Minimally Invasive Gynecologic Surgery Center,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FREEDOM MITCHELL (PRACTICE MANAGER)
(404) 355-4885
Entity
Organization
Contact information
Practice address
105 COLLIER RD NW, SUITE 1010, ATLANTA, GA 30309-1710
(404) 355-4885
(404) 355-2210
Mailing address
105 COLLIER RD NW, SUITE 1010, ATLANTA, GA 30309-1710
(404) 355-4885
(404) 355-2210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
045895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6300
MEDICARE RAILROAD
GA
Enumeration date
02/28/2008
Last updated
03/24/2015
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