Organization
BRASELTON ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D STEINES (CHIEF FINANCIAL OFFICER)
(770) 219-1703
Entity
Organization
Contact information
Practice address
1524 RIVER PLACE, SUITE 100, BRASELTON, GA 30517-5614
(770) 848-1730
Mailing address
PO BOX 748877, ATLANTA, GA 30374-8877
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
09/15/2023
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