Organization
ADVANCED LAPAROSCOPIC SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE SCOTT MD (OWNER)
(404) 671-9556
Entity
Organization
Contact information
Practice address
5910 HILLANDALE DR STE 209, LITHONIA, GA 30058-1880
(404) 294-0257
(678) 252-6675
Mailing address
PO BOX 102294, ATLANTA, GA 30368-2294
(404) 294-0257
(678) 252-6675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
051545
GA
Other
Enumeration date
10/12/2010
Last updated
10/12/2010
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