Organization
ADVANCED SURGERY CENTER PERIMETER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE J. HERNANDEZ (VP-ADMIN, CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1100 JOHNSON FY RD NE STE 300, ATLANTA, GA 30342-1733
(404) 851-6378
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
10/15/2018
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