Organization
ATLANTA SURGERY NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RAYBON MD (AUTHORIZED OFFICIAL)
(678) 344-8900
Entity
Organization
Contact information
Practice address
11660 ALPHARETTA HWY STE 730, ROSWELL, GA 30076-4916
(678) 344-8900
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
05/24/2023
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