Organization
GEORGIA SURGICAL PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. HERNANDEZ (VP-ADMIN, CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
4380 GEORGETOWN SQ, SUITE 1002, ATLANTA, GA 30338-6254
(855) 709-4535
(770) 234-9979
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
06/25/2025
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