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Organization

GENERAL SURGERY SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W SHOTWELL M.D. (PRESIDENT)
(678) 840-5703
Entity
Organization

Contact information

Practice address
527 NORTH AVE, VILLA RICA, GA 30180-1314
(678) 540-5703
(678) 540-5707
Mailing address
527 NORTH AVE, VILLA RICA, GA 30180-1314
(678) 540-5703
(678) 540-5707

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7745
GA

Other

Enumeration date
01/23/2007
Last updated
08/22/2020
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