Organization
ALLIANCE SURGERY CENTER AT JOHNS CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BECK (CFO)
(404) 920-4950
Entity
Organization
Contact information
Practice address
6920 MCGINNIS FERRY RD STE 360A, SUWANEE, GA 30024-6672
(404) 920-4950
(404) 920-4959
Mailing address
PO BOX 11407 DEPT 8099, BIRMINGHAM, AL 35246-0001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
GA
Enumeration date
02/22/2019
Last updated
02/29/2020
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