Organization
FAYETTE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LOWERY (OFFICE MANAGER)
(770) 719-5660
Entity
Organization
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 500B, FAYETTEVILLE, GA 30214-4548
(770) 719-5660
(678) 817-4339
Mailing address
1265 HIGHWAY 54 W, SUITE 500B, FAYETTEVILLE, GA 30214-4548
(770) 719-5660
(678) 817-4339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6744
RAILROAD MEDICARE
GA
Enumeration date
11/09/2007
Last updated
12/13/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us